Spontaneous Massive Vitreous Hemorrhage Secondary to Age-Related Macular Degeneration

老年性黃斑部病變與次發性大量玻璃體出血

楊伯仁(Bao-Jen Yang) ； 廖興隆(Shin-Long Liao) ； 廖泓淼(H. Robert Liao)

《中華民國眼科醫學會會刊》 28卷2期 (1989/05) Pp. 761-767

https://doi.org/10.30048/ACTASOS.198905.0140

摘要

本文分析了七例老年性黃斑部病變而引起大量玻璃體出血的病例，男女比率5:2；年齡52到69歲，平均61.1歲；追蹤時間九到二十四個月，平均13.8個月。經眼底，螢光攝影及詳細的臨床檢查，發現每個病案均有廣泛性的視網膜下出血。從視網膜下出血演變到玻璃體出血的時間不等，約一至三個星期。四例(57.1%)可以找到視網膜裂孔，此裂孔推斷是導致玻璃體出血的原因。六例(85%)接受經扁平部玻璃體切除術。術後中心視力雖沒有滿意的進步，其視野確都有主觀上的改善，於玻璃體出血清除後我們未能找到可利用雷射治療之視網膜下新生血管。臨床上，因老年性黃斑部病變與脈絡膜黑色素腫瘤所引起之玻璃體出血須小心鑑別診斷，以避免不必要的眼球摘除。

並列摘要

Results of seven eyes with massive vitreous hemorrhage secondary to age-related macular degeneration are reported. Six of these seven eyes underwent early vitrectomy. Recovery of central vision is unsatisfactory due to macular degeneration and cicatrization. All seven eyes had evidence of extensive subretinal pigment epithelial hemorrhage either prior to, or after vitreous hemorrhage had cleared. Time span from subretinal pigment epithelium hemorrhage to vitreous hemorrhage averaged 11 days (1 to 3 weeks). Four eyes (57%) showed retinal breaks over area of subretinal pigment epithelium hematoma. No treatable choroidal neovascuarization was noted after clearing of vitreous hemorrhage.

並列關鍵字

Age-related macular degeneration ； Massive vitreous hemorrhage ； Trans pars plana vitrectomy