結膜下出血

Sub-conjunctival Haemorrhage

    結膜下出血是一個常見而又較簡單之眼科疾患,不少病者因其外觀而擔心影响視力,其實這病一般不會影响視覺,一般2星期內可自行消除,當然亦有部份患者例外。部份患者症狀明顯,如眼有異物感不適。如反覆發作,則要考慮會否有循環系統疾患(如高血壓) 、 或糖尿病等疾患。

    臨床表現為眼白(白睛)有點/塊狀出血,嚴重患者整個白睛可變成血紅色(如以下病例)。中醫眼科病名為"白睛溢血"。

    此病例為一位七十多歲女仕,患有高血壓、糖尿病、冠心病等疾患,因心律不整須服用薄血藥物。圖1及2為患者出血後首次診治,因出血量較多,患者有明顯眼部異物感;服用中藥處方3天後(圖3),結膜下出血明顯減退,並於7天後出血已完全重吸收(圖4),可見中藥對這類出血疾患有明顯幫助。





結膜下出血

圖1: 第一天

結膜下出血

圖2: 第一天


結膜下出血

圖3: 第三天 


結膜下出血(康復)

圖4: 第七天 

 

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