角膜内出血的病因、诊断和治疗  

The Pathogeny,Diagnosis and Treatment of corneal

作　　者：周和政[1] 黄震唏[1] 周雄[1] 金中秋[1] 张占恩 

机构地区：[1]中国武汉广州军区武汉总医院眼科,430070

出　　处：《美中国际眼科杂志》2001年第4期31-33,共3页

摘　　要：目的 探讨角膜内出血的病因和诊断、治疗的经验。方法 回顾分析我科15年内治疗的8例患者的病历资料。结果(1)8例中7例有角膜新生血管;出血发生的诱因:4例系氩激光光凝角膜新生血管,1例为角膜移植术,3例为自发性。(2)角膜内出血外观酷似于角膜接触镜血染。(3)除1例因角膜溃疡穿孔行眼球摘除术外,经一般治疗或氩激光治疗後,出血均于1～3周内吸收。结论 (1)角膜内出血一般源于角膜新生血管。(2)角膜内出血应与角膜血染及角膜接触镜血染相区别。(3)氩激光光凝角膜新生血管时方法务必正确。Objective To survey the pathogeny, diagnosis and treatment of corneal apoplexy. Methods 8 cases treated in the past 15 years in our hospital were retrospectively reviewed. Results (1) Corneal vascularization was found in 7 cases, Inducements of the bleeding includ argon laser photocoagulation of corneal vascularization (4 cases), cornea transplantation (1 case) and spontaneous bleeding(3 cases). (2) The apperance of corneal apoplexy was extremely similar to that of blood staining of corneal contact lens. (3) Except one case of which the eyeball was enucleated due to the perforation of the ulcerated cornea, the hemorrhages were absorbed in 1~3weeks after general treatment and/or argon laser photocoagulation. Conclusion (1) The source of the bleeding in most cases was the corneal vascularization. (2) Differential diagnosis should be made among corneal apoplexy, blood staining of cornea and blood staining of coreal contact lens. (3) A correct method must be applied during the laser photocoagulation of corneal vascularization.

关 键 词：角膜内出血 角膜接触镜 激光治疗 角膜新生血管 

分 类 号：R772.2[医药卫生—眼科]