国际眼科杂志2026，Vol.26Issue(2)：358-360,3.DOI:10.3980/j.issn.1672-5123.2026.2.31
外伤性黄斑视网膜下出血是否应该纳入眼科"急症"手术?
Should traumatic submacular hemorrhage be classified as an ophthalmic"emergency"surgery?
高磊 1高荣玉 2姬大卫 1任建涛1
作者信息
- 1. (261000)中国山东省潍坊市,潍坊眼科医院 正大光明眼科集团 国家临床重点专科
- 2. (266000)中国山东省青岛市,青岛大学正大光明国际眼科研究中心
- 折叠
摘要
Abstract
Traumatic submacular hemorrhage often leads to a rapid decline in visual acuity,and prolonged retention of blood can cause irreversible retinal damage.By comparing two cases with similar clinical features but different treatment approaches and outcomes,and reviewing relevant domestic and international literature,this article proposes that such trauma-induced submacular hemorrhage should be considered an indication for ophthalmic"emergency surgery".This recommendation is based on the understanding that subretinal blood accumulation exerts definite mechanical compression and chemotoxic damage on retinal tissue.Furthermore,submacular hemorrhage resulting from trauma differs in etiology and pathological mechanism from hemorrhage caused by primary macular diseases such as age-related macular degeneration.Therefore,it warrants distinct management and proactive intervention.关键词
眼球顿挫伤/黄斑/视网膜下出血/玻璃体切割手术/组织型纤溶酶原激活剂Key words
blunt ocular trauma/macula/submacular hemorrhage/vitrectomy/tissue plasminogen activator引用本文复制引用
高磊,高荣玉,姬大卫,任建涛..外伤性黄斑视网膜下出血是否应该纳入眼科"急症"手术?[J].国际眼科杂志,2026,26(2):358-360,3.
