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頁籤選單縮合
題名 | 獨立性視神經盤出血之臨床觀察 |
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作者姓名(中文) | 黃正賢; 楊中美; 陳慕師; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 31:4 1992.12[民81.12] |
頁次 | 頁49-57 |
分類號 | 416.73 |
關鍵詞 | 視神經盤出血; 眼底; Optic disc hemorrhages; Glaucoma; Small disc; |
語文 | 中文(Chinese) |
中文摘要 | 本文收集27位因獨立性視神經盤出血而接受螢光眼底攝影檢查的病 人,作追蹤檢查,探討其可能出血原因。其中有10位男性,17位女性,平均年齡 31.5歲,平均追蹤時間1年8個月。分析結果,由視乳頭靜脈炎,後玻璃體剝離和 伐氏視網膜病變所引起的各有2人,而外傷性視網膜病變,白血病和眼球鈍傷則 各有1人。有4位病人是青光眼所引起。另有14位病人在詳細檢查評估後,其出血 原因仍未明。但是其中有8位病人的視神經盤明顯較小,我們認為在小視神經盤 似乎有較易出血的傾向。預後方面,皆與其相關連的疾病有關。至於原因不明的 病例,視覺預後良好。 |
英文摘要 | Optic disc hemorrhages may be a part of expression of ocular and systemic disease or an isolated finding. We retrospectively reviewed and followed up27 patients with isolated optic disc hemorrhages receiving fluorescein angiographic examination from1982 to 1991. The possible causes of disc hemorrhages were classified into non-glaucomatous, glaucomatous and unknown group. There were nine cases in non-glaucomatous group and the causes of which included papillophlebitis, posterior vitreous detachment, Valsalva retinopathy, traumatic retinopathy, blunt injury and leukemia. Four cases were enrolled in glaucomatous group, two cases were open angle glaucoma, one was angle closure glaucoma and the other one was low tension glaucoma. There were also fourteen cases whose causes of disc hemorrhages were still unknown even after detailed clinical work up. But eight of these fourteen cases had small optic disc. The visual prognosis of isolated optic disc hemorrhages related to their underline diseases and those with unknown etiology seemed "benign" in terms of visual prognosis and may have a higher prevalence rate in small disc. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。