中心網膜靜脈阻塞的臨床觀察

Clinical Observation of Central Retinal Vein Occlusion

黃宏仁(Hung-Jen Huang) ； 吳愛卿(Ai-Ching Wu)

《中華民國眼科醫學會會刊》 27卷2期 (1988/05) Pp. 748-754

https://doi.org/10.30048/ACTASOS.198805.0134

摘要

本文乃觀察馬偕醫院近三年來所見中心網膜靜脈阻塞病例共24例，分析其臨床資料及眼底變化；平均追蹤20個月。結果男與女之比為2.5比1，發病年齡呈兩極分佈，合併全身性疾病以糖尿病及高血壓較多，與對照組比較則40歲以上病人此現象更有意義，分類上，HR組比VSR組之百分比例為54比46，最終與最初視力之比較，無明顯進步。虹膜新生血管及血管增殖性青光眼皆在HR組產生，且在此組中PRP治療之有無對血管增殖性青光眼之預防有顯著之效果

並列摘要

Totally 24 cases of CRVO were collected in recent 3 years for further investigation of the risk factors, clinical features, visual prognosis, subclassification, complication and result of PRP therapy.
The tendency of slight male predominant and biphasic curve of age distribution were noted and the risk factors of DM and hypertension were identified.
According to the subclassification of CRVO of Hayreh, 1983, HR group were noted more frequently than VSR group in this paper. The visual prognosis did not improve very much in both groups and did not make much difference between them, on the contrary, the young group had rather satisfactory recovery of visual acuity and fundus change with low complication rate. All the complications of rubeosis and NVG occured in HR group, especially in those cases which had not received prophylactic PRP therapy.

並列關鍵字

Hemorrhagic retinopathy HR ； Venous Stasis retinopathy VSR ； Neovascular glaucoma NVG ； Panretinal photocoagulation PRP