Theodossiadis G, Velissaropoulos P, Maguritsas N, Vikas K
Klin Monbl Augenheilkd. 1977 Mar;170(3):411-5.
The present clinical study is based on 17 cases of a specific clinical entity, which is characterised by a retinal break without retinal detachment, the tear being spanned by an avulsed patient retinal vessel invariably adjoining the operculum. The vessel was in the vitreous cavity and formed an arch above the break. All cases began with a sudden decrease or loss of visual acuity due to the rupture of the avulsed vessel and the occurrence of hemorrhages within the vitreous. These hemorrhages recurred in the course of the follow-up of the patients which lasted from 1-8 years. The recurrence of the bleeding was in most instances related to the mobility and the size of the vessel overlying the break. During treatment the cases were divided into two groups, group 1 comprising cases which were subjected only to light-coagulation, whereas in the cases of group 2 scleral buckling was performed in conjunction with cryopexy or light-coagulation. The comparatively best results were achieved in group 2. This condition is rare and amounted to only 1.5% of our total number of cases of retinal tears treated with light-coagulation during the last 8 years.
本临床研究基于17例特定临床实体病例，其特征为存在视网膜裂孔但无视网膜脱离，撕裂处由一条撕脱的患者视网膜血管跨越，该血管总是毗邻盖瓣。血管位于玻璃体腔并在裂孔上方形成一个弓形。所有病例均因撕脱血管破裂及玻璃体内出血而突然出现视力下降或丧失。这些出血在患者1至8年的随访过程中反复出现。出血的复发在大多数情况下与覆盖裂孔的血管的活动度和大小有关。治疗期间，病例被分为两组，第1组包括仅接受光凝治疗的病例，而第2组病例则在冷冻治疗或光凝治疗的同时进行巩膜扣带术。第2组取得了相对较好的结果。这种情况很罕见，仅占过去8年我们用光凝治疗的视网膜裂孔病例总数的1.5%。
