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頁籤選單縮合
題名 | Natural Course of Submacular Hemorrhage=視網膜黃斑部下出血之自然病程 |
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作者 | 陳文祿; 劉榮宏; 許紋銘; 李鳳利; | 書刊名 | 中華醫學雜誌 |
卷期 | 62:5 1999.05[民88.05] |
頁次 | 頁268-277 |
分類號 | 416.746 |
關鍵詞 | 老年性黃斑部病變; 自然病程; 視網膜黃斑部下出血; 視網膜黃斑部下新生血管膜; Age-related macular degeneration; Natural course; Submacular hemorrhage; Subretinal neovascular membrane; |
語文 | 英文(English) |
中文摘要 | 目的:探討不同原因導致之視網膜黃斑下出血之自然療程。 方法:對1981年5月到1996年5月間,患視網膜黃斑部下出血而在本院眼科定期追蹤病患的 病歷作回溯性評估,其中包括眼底彩色立體照片、螢光血管攝影照片及視力變化等檢查的 資料。 結果:共收集123隻病眼(其中86隻屬於老年性黃斑部病變,37隻是非老年性黃斑部病變) 。老年性黃斑部病變組在定期追蹤半年後視力進步兩行或兩行以上有10.50%,最後平均 視力為0.069;而非老年性黃斑部病變組則分別為29.70/0及0.388。 結論:患視網膜黃斑部下出血的病患,即使不作任何治療也可能有視力進步,特別是沒 有視網膜下新生血管膜的病患。 |
英文摘要 | Background. Age-related macular degeneration (ARMD) is the most prevalent cause of blindness in the elderly population. This study retrospectively evaluated the natural course of submacular hemorrhage related to ARMD. Methods. We reviewed the records of patients with submacular hemorrhage and foveal avascular zone involvement at the Veterans General Hospital-Taipei from 1981 to 1996. Data were collected from color fundus pictures, fluorescence angiographic films and visual acuity changes. Results. Data from a total of 86 eyes with age-related macular degeneration ( ARMD) and 37 non-ARMD eyes were collected. Analysis of data from the ARMD group revealed 10.5% visual acuity improvement six months after presentation and a final mean acuity of 0.069. Analysis of data from the non-ARMD group revealed 29.7% visual acuity improvement and a final mean acuity of 0.388. Conclusions. In this study, patients with submacular hemorrhage had spontaneous visual improvement even without surgery, especially those without subretinal neovascularization. |
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