Dixsaut F, Postelmans L, Verougstraete C
Hôpitaux Universitaires Brugmann et Saint-Pierre, Université Libre de Bruxelles.
Bull Soc Belge Ophtalmol. 1995;259:97-105.
We retrospectively studied 58 eyes with a subretinal haemorrhage > or = 5 disc areas related to age-related macular degeneration. The subretinal new vessels which caused the haemorrhage were occult or mixed except in 2 cases of well-defined new vessels where the haemorrhage appeared after a trauma. A pigment epithelium detachment was present in 1/3 of the cases before the haemorrhage. 36% of the patients had one or more important haemorrhagic recurrences. In 32% of the cases, the visual acuity before the haemorrhage was > or = 4/10. The final evolution resulted in an important fibroglial and atrophic central scar with a dramatic loss of visual acuity (85% VA < 0,1).
我们回顾性研究了58只视网膜下出血面积≥5个视盘面积且与年龄相关性黄斑变性相关的眼睛。导致出血的视网膜下新生血管除2例明确的新生血管在创伤后出现出血外，均为隐匿性或混合性。三分之一的病例在出血前存在色素上皮脱离。36%的患者有一次或多次严重的出血复发。32%的病例出血前视力≥4/10。最终的病情发展导致了重要的纤维胶质和萎缩性中央瘢痕形成，视力急剧下降（85%的患者视力<0.1）。
