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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。
Objective To retrospectively study the clinical data of 9 cases (9 eyes) of congenital optic disc disease and analyze and summarize its clinical features. Methods Statistical analysis of the patient’s age, gender, eye, eyesight, first complaint. According to the ophthalmoscope fundus examination, fundus photography and fluorescein fundus angiography (FFA), the vascular 襻 in the optic disc area, vascular properties (arterial or venous), 襻 the number of vitreous and retinal conditions, in addition to blood vessels 襻Other eye complications. Results A total of 9 cases (9 eyes), including 5 cases of right eye and 4 cases of left eye, all of which were monocular. The vascular characteristics were: arterial angiostenosis in 7 eyes and venous in 2 eyes; Relationship: The above and the temporal upper common see a total of 6 eyes, the bottom 3 eyes. The number of blood vessels is a single 6 eyes, 2 襻 1 eye, 3 襻 above 2 eyes, a single more common. Initial complaints (symptoms): fly ants 6 eyes, depending on the Mongolian 2 eyes, eye examination accidentally found in 1 eye to fly ants disease (in front of flapping dark shadow) the most common. Fundus examination found: vitreous opacity 5 eyes, 3 eyes bleeding pancreas, branch vein occlusion 1 eye. Bleeding cases were treated by traditional Chinese medicine syndrome differentiation and internal medicine, branch vein occlusion by laser photocoagulation combined with traditional Chinese medicine syndrome differentiation treatment, were clinically cured. Conclusion The first symptoms of this disease (complaint) are the most common fly ants, depending on the Mongolian (vision loss) and other diseases due to fundus examination can also be found. Found when the age of mostly young adults, no difference between men and women. The disease monocular, both eyes can be disease, this group of patients are monocular, visible monocular should be common. Angiosperma mostly arterial, mostly in the optic disc surface or near the rim, to the above (temporo-superior, upper) is more common.