48例视网膜血管瘤的临床特征  

Clinical features of 48 cases with retinal angioma

作　　者：彭晓燕[1] 王光璐[1] 张风[1] 孟淑敏[1] 卢宁[1] 

机构地区：[1]首都医科大学北京同仁眼科中心,100730

出　　处：《中华眼科杂志》2002年第9期550-552,共3页Chinese Journal of Ophthalmology

摘　　要：目的　了解视网膜血管瘤的临床特征。方法　对 4 8例视网膜血管瘤的临床资料进行回顾性分析。结果　 4 8例患者中 ,男女比例相同 ,青壮年患病较多。其中双眼患病 13例 (2 7% ) ,多发性血管瘤 2 2只眼 (36 % ) ,vonHippelLindou(VHL)病患者 17例 (35 % ) ,单发性视网膜血管瘤均位于视网膜颞侧。有症状的血管瘤直径均≥ 1个视盘直径。患者就诊原因依次为 :视力下降 4 1只眼 (77% ) ,眼前黑影飘动 8只眼 (15 % ) ,视物变形 4只眼 (8% )。患病≤ 1个月就诊者 ,平均视力为 0 5 ;≥ 6个月就诊者 ,>90 %的患者视力≤ 0 0 5。结论　视网膜血管瘤是一种易累及双眼并主要危害青壮年视力的少见眼底病。Objective To summarize the clinical features of 48 cases with retinal angioma. Methods The 48 cases were retrospectively summarized. The clinical features included sex distribution, age at first visit, chief complains, visual acuity, and the size, number and site of retinal angioma identified by fundus fluorescein angiography (FFA) and fundus examination. Results There were 24 males and 24 females. The mean age at onset was 27 years. Thirteen cases (27%) had bilateral retinal angiomas. Multiple angiomas were found in 22 eyes (36%). Seventeen cases (35%) were identified as von Hippel Lindau (VHL) disease. The location of angioma was in the temporal retina in all the cases with only one angioma. All the symptomatic tumors were larger than 1 disc diameter (DD). The common symptoms of patients with retinal angioma were visual loss in 77% cases, floaters in 15% cases and distortion in 8% cases. Conclusion Retinal angioma is an uncommon disease prone to be involved in both eyes and to primarily damage the vision of young and middle aged adults.

关 键 词：视网膜肿瘤 血管瘤 Hippel-Lindou病 

分 类 号：R739.7[医药卫生—肿瘤]