论文部分内容阅读
目的 :对不明原因的黄斑出血作进一步病因诊断。方法 :对 2 7例 (2 8只眼 )患者常规检查未发现明显原因的黄斑出血的眼底 ,眼底荧光血管造影和必要的吲哚青绿血管造影检查进行分析 ,判断引起黄斑出血的原因。结果 :16例 (17只眼 )为高度近视引起 ,平均年龄为 4 7 4岁 ,其中 2例发生脉络膜新生血管膜 ;9例 (9只眼 )为老年性黄斑变性 ,平均年龄为 6 2 7岁 ,其中脉络膜新生血管膜 7例 ,2只眼为黄斑地图样变性 ;1例 (1只眼 )黄斑部血管异常而引起出血 ;1例 (1只眼 )为脉络膜肿物。结论 :老年患者的不明原因的黄斑出血的发病原因以老年性黄斑变性较多见 ,而年轻患者以高度近视为主。
Objective: To further cause the diagnosis of macular hemorrhage with unknown causes. Methods: The fundus, fundus fluorescein angiography and indocyanine green angiography examination of macular hemorrhage, which were not found in routine examination, were analyzed in 27 cases (28 eyes), and the causes of macular hemorrhage were analyzed. Results: 16 cases (17 eyes) were caused by high myopia. The mean age was 474 years. Choroidal neovascularization was found in 2 cases and age-related macular degeneration in 9 cases (9 eyes) with an average age of 627 Seven of them were choroidal neovascularization, two had macular degeneration, one had macular vascular abnormalities and one had choroidal tumor. Conclusion: The causes of macular hemorrhage of unknown origin in elderly patients are more common in age-related macular degeneration, while younger patients are predominantly in high myopia.