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关于视网膜中央静脉阻塞病变分型的初步探讨

Preliminary Investigation on the Classification of Central Retinal Vein Occlusion

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【作者】 申尊茂; 王心; 郭续嫒;

【Author】 Shen Zunmao, et al (Department of Ophthalmology, Heilongjang Provincial Hospital, Harbin)

【机构】 黑龙江省医院眼科; 黑龙江省医院眼科;

【摘要】 <正> 视网膜中央静脉阻塞(CRVO)是临床上比较常见而且病因复杂、治疗难度较大、致盲率较高的一类视网膜病变。临床观察证明:在此类疾病中,其发展过程及预后常常差异甚大;有的病例在早期视力可受到严重的破坏,但到后期可保留较好的视力;有的病例在整个发展

【Abstract】 The clinical observation of 28 cases of central retinal vein occlusion showed that these cases were divided clearly into two independant types: venous stasis retinopathy (VSR) and retinopathy hemmorhagic (HR). VSR is caused simply by retinal vein occlusion and not associated with retinal ischemia. In these patients, there is always a better prognosis unless the macular oedema occurs persistently, so it is a benign selflimited disease.In HR, the ischemic changes were developed in capillaries and arterioles, so their prognosis is bad. With regard to treatment, if macular oedema occurred, the eye with VSR should be treated by steroids and if no macular oedema presented, the eye should not be given any therapy. But in HR, the purpose of treatment is to improve microcirculation of retina and to destroy microaneurysms, new vessels and the large avascular areas on fundus with laser photocoagulation.

  • 【文献出处】 眼科研究 ,Chinese Ophthalmic Research , 编辑部邮箱 ,1986年04期
  • 【被引频次】1
  • 【下载频次】15
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