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出 处:《中国实用眼科杂志》2015年第7期821-823,共3页Chinese Journal of Practical Ophthalmology
摘 要:目的 探讨首发症状为玻璃体积血视网膜裂孔的临床特点及诊断.方法 回顾性分析2012年1月至2013年12月,在秦皇岛市第一医院眼科就诊的首发症状为玻璃体积血病例65例65只眼,经眼B超与FFA检查,明确诊断玻璃体积血原因为视网膜裂孔病例的临床资料.结果 65例无外伤、糖尿病及其它眼病史.年龄45~69岁,平均年龄52.6岁.65例中,玻璃体积血分别为:Ⅰ级玻璃体积血42只眼占64.62% (42/65),Ⅱ、Ⅲ级玻璃体积血23只眼占35.38% (23/65).视网膜颞上裂孔49只眼占75.38% (49/65).均位于颞上周边视网膜;颞侧裂孔16只眼占24.62% (16/65).裂孔距黄斑最近3PD.圆形裂孔50只眼占76.93% (50/65).不规则形裂孔15只眼占23.07% (15/65).发现孔盖33只眼占50.77% (33/65).裂孔最大2PD,最小1/4PD.B超提示:继发视网膜浅脱离10只眼占15.38%(10/65).伴玻璃体后脱离52只眼占80% (52/65).FFA发现小血管跨越裂孔、裂孔边缘小血管及小血管壁荧光着染48只眼占73.85% (48/65).结论 首发症状为玻璃体积血视网膜裂孔均为非外伤、糖尿病及其它眼病史的中老年人.因积血量较少,病人均以眼前暗影就诊.眼B超与FFA可明确诊断。Objective To study the clinical characteristics and diagnosis of vitreous hemorrhage in retinal hole as the first symptom.Methods A retrospective analysis of the clinical data of 65 cases and 65 eyes with a clear diagnosis of vitreous hemorrhage reason for the retina in cases by the eye B ultrasonic and FFA examination,All patients were confirmed by the first hospital of Qinhuangdao ophthalmology form February 2012 to December 2013.Results There was no history of trauma,diabetes and other eye diseases in 65 cases.Those were aged 45-69 years old,with an averaged age of 52.6 years.In 65 cases,the vitreous hemorrhage respectively:Class Ⅰ vitreous hemorrhage in 42 eyes,accounted for 64.62%;Class Ⅱ,Ⅲ vitreous hemorrhage in 23 eyes,accounted for 35.38%.On the temporal retina in 49 eyes,accounted for 75.38%,which were located in the temporal peripheral retina;the temporal side in 16 eyes,accounted for 24.62%.In macular in recent 3 PD.Circular in 50 eyes,and accounted for 76.93%.Irregular in 15 eyes,accounted for 23.07%,found the hole cover only 33 eyes,accounted for 50.77%.In maximum 2 PD,minimum quarter of PD;Ultrasound tip:Secondary shallow retinal from 10 eyes,accounted for 15.38%;52 eyes with after vitreous detachment accounted for 80%.FFA discovered small blood vessels across the stage,in the small blood vessels around the small blood vessels and fluorescent dye 48 cases,accounted for 73.85%.Conclusions There are no history of trauma,diabetes and other eye diseases in the elderly cases with vitreous hemorrhage in retinal hole as the first symptom.Because product volume is less,patients are in front of shadow.B ultrasonic and FFA can make diagnosis clearly.
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