论文部分内容阅读
自发性脉络膜脱离于1854年von Graefe氏首先报导,尔后自发性渗出性或浆液性脉络膜脱离的报导相继出现,但均以描述临床表现为主。而由海绵窦区的硬脑膜动静脉瘘所引起的自发性脉络膜脱离实属罕见。作者报告一例男性,70岁,自觉有刺激症状,泪溢及异物感。眼部检查:双眼视力1.0,双眼睑轻度水肿,结膜血管明显扩张,双瞳孔开大,右眼直接对光反应微弱。双眼球突出为20mm(Hertel氏计),无搏动现象,眼球运动正常。S.L.检查(一),双眼压21mmHg(压平眼压计)。眼底:视网膜血管轻度
Spontaneous choroidal detachment in 1854 von Graefe’s first report, and after spontaneous exudative or serous choroidal detachment reports have appeared, but are described in the main clinical manifestations. Spontaneous sinusoidal dural arteriovenous fistula caused by spontaneous choroidal detachment is rare. The authors report a male, 70 years of age, consciously having irritation, tearing and foreign body sensation. Eye examination: binocular visual acuity 1.0, mild eyelid edema, conjunctival blood vessels significantly dilated, double pupil open large right eye light reaction weak. Eyes prominent 20mm (Hertel’s meter), no beating phenomenon, normal eye movements. S.L. examination (a), binocular pressure 21mmHg (pressure tonometer). Fundus: retinal blood vessels mild