近视盘视网膜毛细血管瘤的临床特征分析  

Clinical features of 18 cases of juxtapapillary capillary hemangioma

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

机构地区：[1]首都医科大学附属北京同仁医院眼科中心,100730

出　　处：《中华眼底病杂志》2004年第1期1-4,共4页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的　观察近视盘视网膜毛细血管瘤的临床特征。　方法　回顾性分析 18例近视盘视网膜毛细血管瘤 19只眼的临床资料、16只眼的荧光素眼底血管造影 (FFA)以及 7只眼的随访观察资料。　结果　 18例患者中 ,男女之比为 1∶ 2 ,平均年龄为 2 8.9岁。 3例 4只眼合并周边视网膜血管瘤。 19只眼血管瘤的中心均位于视盘的边缘以外 ,以颞下象限为最多 (7/ 19) ,血管瘤大小为 1.0～ 2 .5个视盘直径 (DD) ,颜色以红色为主 (12 / 19)。 16只眼 FFA检查显示 13只眼造影晚期有“排空”现象。长期随访的 7只眼 (其中 5只眼经过激光光凝治疗 )视力均下降。初诊时无渗出性视网膜脱离的 6只眼 (其中经过治疗的 4只眼、未经过治疗的 2只眼 )在平均随访 5 4 .5个月后均未发生视网膜脱离。　结论　近视盘视网膜毛细血管瘤多呈类椭圆形、橙黄色或红色包块。瘤体的中心位于视盘的边缘外。患者多在青壮年期出现视力下降的症状 ,有症状者瘤体周围均有不同程度的渗出、视网膜水肿 ,视力下降较缓慢 ,治疗效果差。FFA检查有助于本病的诊断和鉴别诊断。Objective To evaluate the clinical features of 18 cases of juxtapapillary capillary hemangioma. Methods In 18 cases of juxtapapillary capillary hemangioma, the clinical data of 19 eyes, the results of fundus fluorescein angiography (FFA) of 16 eyes, and the follow-up observation of 7 eyes were retrospectively analyzed. Results In 18 cases, the sex ratio of male and female is 1∶2 with the average age of 28.9 years. Peripheral retinal angioma was found in 3 cases (4 eyes). In 19 eyes, the center of hemangioma was located beyond the rim of optic, most of which was in inferotemporal quadrant of the optic (7/19) with the size of 1-2.5 disc diameter (DD). Most of the tumors were red in color (12/19). In the result of FFA of 16 eyes, wash-out at the late phase was found in 13 eyes. Decreased acuity was found in all 7 cases that were followed up more than 12 months (including 5 cases treated by laser photocoagulation). Retinal detachment didn′t occur in 6 cases without exudative retinal detachment after being followed-up for 54.5 months of the average term. Conclusions Most of the juxtapapillary capillary hemangioma are orange or red oval tumors. The center of hemangioma are located beyond the rim of the optic. The patients often complain gradually decreased visual acuity when they are in prime of their life with exudation and edema in different degree around the tumor. FFA is helpful for the diagnosis and differential diagnosis of this disease.

关 键 词：近视盘 视网膜毛细血管瘤 诊断 肿瘤 临床资料 

分 类 号：R739.7[医药卫生—肿瘤]