Takano M, Sugiura N, Yonemoto J, Ohno S
Department of Ophthalmology, Yokohama City University School of Medicine, Japan.
Jpn J Ophthalmol. 1993;37(2):199-203.
A case of vitreous hemorrhage associated with acute posterior vitreous detachment was reported. The patient was a 64-year-old man who complained of floaters in his left eye of one-week duration. His previous medical and ocular histories were unremarkable. Slit-lamp examination with Goldmann three-mirror contact lens showed complete posterior vitreous detachment in both eyes. Ophthalmoscopic examination and fluorescein angiogram revealed a partial defect in retinal blood flow in the midperipheral area of the superotemporal region of the left fundus. On follow-up examination, recovery of the retinal circulation was observed in that region and the vitreous hemorrhage had spontaneously resolved. The diagnosis was made in the left eye of rupture of retinal vein due to vitreous traction associated with acute posterior vitreous detachment without retinal break formation.
报告了一例与急性玻璃体后脱离相关的玻璃体积血病例。患者为一名64岁男性，主诉左眼出现飞蚊症一周。他既往的内科和眼科病史均无异常。使用戈德曼三面镜接触镜进行裂隙灯检查显示双眼均有完全性玻璃体后脱离。眼底镜检查和荧光素血管造影显示左眼眼底颞上象限中周部视网膜血流存在部分缺损。在随访检查中，观察到该区域视网膜循环恢复，玻璃体积血已自行消退。诊断为左眼因急性玻璃体后脱离伴玻璃体牵拉导致视网膜静脉破裂，未形成视网膜裂孔。
