中心視網膜靜脈阻塞之臨床觀察

Clinical Observation of Central Retinal Vein Occlusion

彭百慧(Pai-Hui Peng) ； 吳愛卿(Ai-Ching Wu)

《中華民國眼科醫學會雜誌》 37卷1期 (1998/03) Pp. 22-28

https://doi.org/10.30048/ACTASOS.199803.0006

摘要

視網膜靜脈阻塞是網膜血管疾病第二常見的疾病。我們觀察分析馬偕醫院近十年至少追蹤三個月以上的七十三位病患，以螢光眼底血管攝影結果區分為缺血型(53.4%)、非缺血型(19.2%)、不確定型(23.3%)、及轉變型(4.1%)。非缺血型視力預後多不錯，黃斑部囊狀水腫是影響視力主因；缺血型則視力預後不佳，有四例導致絕對性青光眼，三例視力僅餘光感。合併症產生於靜脈阻塞後半年是危險期，虹膜及網膜新生血管各約佔1/3，1/6發生新生血管性青光眼。轉變型則均在一年內性生轉變，最終視力小於0.1，而有一人產生合併症。

並列摘要

Retinal vein occlusion is the second most common retinal vascular disease. We collected 73 cases of central retinal vein occlusion who were followed up at Mackay Memorial Hospital for at least 3 months. They were classified by flourescein angiography into ischemic (53.4%), non-ischemic (19.2%), indeterminate (23.3%) and conversion type (4.1%). Visual outcome was better in non-ischemic type and worse in ischemic type. Long term cystoid macular edema was the most common cause of poor visual acuity in non-ischemic type. Major complications in ischemic type included iris and retinal neovascularization (31%), neovascular glaucoma (14.3%).

並列關鍵字

Central retinal vein occlusion ； Ischemic central retinal vein occlusion ； Non-ischemic central retinal vein occlusion ； Visual results