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眼挫伤视网膜色素上皮病变

Retinal Pigment Epitheliopathy Caused by Blunt Ocular Trauma

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【作者】 王开文董永章杨树楦

【Author】 Wang Kai-Wen

【机构】 新疆石河子医学院眼科研究室新疆石河子医学院眼科研究室

【摘要】 <正> 视网膜色素上皮(RPE)作为血—视网膜屏障的外屏障,在眼球遭受钝挫伤或震荡伤时所发生的改变迄今研究较少,国内尚无报道。本室自1988年以来,对眼挫伤病例连续进行眼底荧光血管造影观察,研究眼底损害。

【Abstract】 Finding from RPE damage caused by blunt ocular trauma with fluorescein angiographyare presented in three degrees: mild,moderate and severe.Among 82 cases 39 were of milddegree,25 moderate,and 18 serious.It is confirmed that retinal edema in severe casesstemmed from the choroid through the damaged RPE.44 cases of inner barrierdestruction——effusion and hemorrhage from the small vessels in the retina were found outof 14 cases(53.7%)and they played a role in pathologic changes of the retina.21 cases(25.6%)had choroidal ischemia with edema and increasing effusion which aggravatedpathology in the retina.

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