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目的 :深入了解普尔夏 (Purtscher)视网膜病变的临床表现、发病机制和预后。方法 :回顾性分析 1987年～ 2 0 0 1年我院眼科遇到的 13例 15只眼Purtscher视网膜病变的主要临床表现及伴发的周身病变 ,并观察预后与眼底表现的关系。结果 :13例 15只眼中 6例 8只眼预后差 ,视网膜梗塞性病变位于黄斑中心凹区 ;7例 7只眼预后好 ,视网膜梗塞性病变发生于黄斑中心凹以外部位。结论 :Purtscher视网膜病变的视力预后取决于视网膜脉络膜损伤部位 ;黄斑中心凹部位损害 ,预后差
Objective: To understand the clinical manifestations, pathogenesis and prognosis of Purtscher’s retinopathy. Methods: The clinical manifestations of 13 cases of Purtscher’s retinopathy and 13 cases of concomitant whole body lesions in 13 cases of ophthalmology in our hospital from 1987 to 2001 were analyzed retrospectively. The relationship between prognosis and fundus appearance was also observed. Results: Among 13 eyes of 13 eyes, 6 eyes (8 eyes) had poor prognosis and retinal infarction was located in the foveal zone. Seven patients (7 eyes) had good prognosis. The retinal infarction occurred in the fovea beyond the fovea. Conclusion: The visual acuity prognosis of Purtscher’s retinopathy depends on the retinal choroidal injury site; the foveal site of the macular degeneration and the poor prognosis