反复发作的视盘内伴视盘旁视网膜下出血1例
Case Report of Recurrent Bouts of Intrapapillary Hemorrhage with Adjacent Peripapillary Subretinal Hemorrhage
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1.云南中医药大学第一附属医院,云南 昆明 650021
2.云南省中医医院眼科,云南 昆明 650021
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陈玉芬,杨金润,董玉.反复发作的视盘内伴视盘旁视网膜下出血1例[DB/OL].(2023-12-26)[2023-12-26].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46791165&Fpath=home&index=0&lang=zh
CHEN Yufen,YANG Jinrun,DONG Yu.Case Report of Recurrent Bouts of Intrapapillary Hemorrhage with Adjacent Peripapillary Subretinal Hemorrhage[J].,
陈玉芬,杨金润,董玉.反复发作的视盘内伴视盘旁视网膜下出血1例[DB/OL].(2023-12-26)[2023-12-26].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46791165&Fpath=home&index=0&lang=zh DOI:
CHEN Yufen,YANG Jinrun,DONG Yu.Case Report of Recurrent Bouts of Intrapapillary Hemorrhage with Adjacent Peripapillary Subretinal Hemorrhage[J]., DOI:.
病史摘要,2,患者女,29岁,于2023年7月10日因“反复右眼眼前黑影遮挡8年余,加重3天”来诊。自诉8年前无明显诱因突感右眼眼前黑影遮挡,无眼痛、眼胀等不适,至外院就诊,完善相关检查后考虑为“右眼眼底出血、双眼埋藏型视盘玻璃膜疣”,予口服“云南红药胶囊、和血明目片、卵磷脂络合碘胶囊”后症状逐渐缓解;后于2022年10月上述眼症再发,至外院就诊,予以相同诊断和治疗2月后症状逐渐缓解;3天前无明显诱因上述眼症再发,为求进一步治疗,来我院就诊。中医诊断 暴盲,肝脾不调,瘀湿不化。西医诊断 右眼视盘内伴视盘旁视网膜下出血;双眼屈光不正。干预措施 中医予口服疏肝解郁汤、院内六味龙竭胶囊,针刺等中医综合治疗;未予西医治疗。疗效转归 治疗3天后患者感眼前黑影遮挡开始减轻;治疗9天后患者诉右眼眼前黑影遮挡较前减轻,右眼眼底照相提示出血较前吸收,右眼B超提示玻璃体条状机化膜形成;治疗20天后患者诉右眼眼前黑影遮挡明显减轻,右眼眼底照相提示出血较前吸收,右眼B超提示玻璃体机化膜较前变薄。治疗34天后患者诉右眼眼前黑影遮挡较前进一步减轻,右眼眼底照相提示出血较前吸收,右眼B超提示玻璃体机化膜较前变薄。治疗48天后患者诉右眼眼前黑影遮挡基本消失,右眼眼底照相提示出血较前吸收,右眼B超提示玻璃体机化膜较前变薄。治疗95天后患者诉右眼眼前黑影遮挡消失,右眼眼底照相提示出血吸收干净,右眼B超提示玻璃体机化膜较前变薄。
Summary of case history, A 29-year-old female patient came to see a doctor on July 10th, 2023 because of "repeated shading of the shadow in front of her right eye for more than 8 years, aggravating for 3 days". Eight years ago, there was no obvious inducement for private prosecution, and there was no special discomfort. She went to the other hospital for treatment. After improving the relevant examination, she was considered as "the cause of fundus hemorrhage in the right eye is unknown, and The eyes of buried optic disc drusen". After one month of take of "Yunnan Hongyao Jiaonang, Hexue Mingmu Pian and Iodized Lecithin Capsules", the symptoms gradually relieved; Later, on October 2022, the above-mentioned eye disease recurred, and the symptoms were gradually relieved after two months of the same diagnosis and treatment. The above-mentioned eye disease recurred 3 days ago, and she came to our hospital for further treatment.,TCM diagnosis, sudden blindness-liver and spleen disorder, stagnation of blood stasis and dampness,Western medicine diagnosis, intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage of right eye,;both eyes are ametropia.,Therapeutic methods, Intervention measures Chinese medicine gives comprehensive treatment of traditional Chinese medicine such as take Shugan Jieyu decoction, Liuwei Longjie Jiaonang and acupuncture; Not treated by western medicine.,Clinical outcomes, After 3 days of treatment, the patient felt that the shadow occlusion in front of her right eye began to reduce; After 9 days of treatment, the patient reported that the shadow occlusion in front of the right eye was less than before, the fundus photography of the right eye indicated that the bleeding was more absorbed than before, and the B-ultrasonography of the right eye indicated the formation of vitreous strip membrane. After 20 days of treatment, the patient reported that the shadow occlusion in front of the right eye was reduced significantly, the right eye fundus photography indicated that the bleeding was more absorbed than before, and the right eye B-ultrasound indicated that the vitreous tissue was thinner than before. After 34 days of treatment, the patient reported that the shadow occlusion in front of the right eye was further reduced than before, and the fundus photography in the right eye indicated that the bleeding was more absorbed than before, right eye B-ultrasonography indicated that the vitreous membrane was thinner than before. After 48 days of treatment, the patient reported that the shadow occlusion in front of the right eye disappeared basically, the fundus photography of the right eye indicated that the bleeding was more absorbed than before, and the B-ultrasound of the right eye indicated that the vitreous membrane was thinner than before. After 95 days of treatment, the patient reported that the shadow in front of the right eye disappeared, and the right fundus photography indicated that the bleeding was absorbed cleanly, and the B-ultrasound of the right eye indicated that the vitreous membrane was thinner than before.
视盘内伴视盘旁视网膜下出血暴盲眼底血证中医辨证论治
intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage (IHAPSH)sudden blindnessfundus hemorrhagesyndrome differentiation and treatment of TCM
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