【摘要】 目的回顾性研究先天性视盘血管襻9例(9只眼)的临床资料,分析并总结其临床特点。方法统计分析患者的年龄、性别、眼别、视力、初诊主诉。根据检眼镜眼底检查、眼底照像和荧光素眼底血管造影(FFA),分析血管襻在视盘的部位、血管性质(动脉性或静脉性),襻的数目,玻璃体及视网膜状况,除血管襻外的其它眼部合并症。结果共9例(9只眼),其中右眼5例,左眼4例,均为单眼性;以血管性质分:动脉性血管襻7只眼,静脉性2只眼;襻状血管与视盘关系:以上方及颞上多见共6只眼,下方3只眼。血管襻数目为单个6只眼,2襻1只眼,3襻以上2只眼,以单个多见。初诊主诉(自觉症状):飞蚁症6只眼,视矇2只眼,眼科检查中偶然发现1只眼,以飞蚁症(眼前飘动性黑影)最常见。眼底检查发现:玻璃体混浊5只眼,血管襻出血3只眼,分枝静脉阻塞1只眼。出血病例均经中医辨证内服中药治疗,分枝静脉阻塞者行激光光凝配合中医辨证治疗,均获临床治愈。结论本病初诊自觉症状(主诉)以飞蚁症最常见,视矇(视力下降)及因其它病眼底检查中也可发现。发现时年龄多为青壮年,无男女差别。本病单眼、双眼均可发病,本组病例均为单眼,可见单眼应常见。血管襻多为动脉性,多在视盘表面或盘缘附近,以上方(颞上、上)为多见。更多还原

【Abstract】 Objective A retrospective study of congenital prepapillary vascular loops 9 cases of clinical data,analysis and summary of its clinical features.Methods Statistical analysis patients age,sex,which eye,visual acuity,chief complaint first visit.According to the ophthalmoscope eye examination,fundus photography and fundus fluorescence vascular imaging,analysis of the blood vessels in the loop part of the optic disc,the nature of vascular(artery or vein),the number of the loop,the vitreous and the retina situation,with the exception of blood vessels outside the loop of the other eye Complications.Results A total of 9 cases of 9 eyes,5 right eye,4 left eye,is single eye;to the nature of angiogenesis: arterial vascular loops have 7 eyes,the vein vascular loops have 2 eyes;loop-like blood vessels and the optic disc: over side Temporal and often on a total of 6 eyes,3 eyes below.Vascular loop to a single number 6,a loop 2,3 loop more than 2 to a single common.Initial chief complaint(symptoms): 6 eyes id the floaters,as the 2,ophthalmic examination found a chance to floaters(in front of fluttering shadow) of the most common.Fundus examination revealed: vitreous opacity 5,vascular hemorrhage loop 3,a branch vein occlusion.Cases have been bleeding Chinese medicine treatment,branch vein occlusion with laser add TCM treatment,were clinically cured.Conclusion Congenital prepapillary vascular loops 9 cases clinical features are summarized as follows: Symptoms of the disease is floaters,and other disease as a result of eye examination can also be found.We found that the 9 cases are young adults,and have no difference between of men and women.the disease may happen in single eye or two eyes,the eyes suffer from these diseases in this group is Monocular,Monocular should be common.Vascular loop for more than artery,on the surface near the edge of the above(the temporal,on) as often.更多还原