According to the examination results provided by you, it may be just floaters, or it may have been abnormal such as vitreous opacity and lens.

Guiding opinions:

Problems with vitreous opacity, such as injection of hyaluronidase and oral vitamins, are helpful, and the opacity may be absorbed after a period of time.

According to the fundus angiography report, the patient suffered from obvious fundus hemorrhage due to venous embolism or obstruction.

General information about the disease is as follows:

1. Symptoms? The vision is decreased, and only the hand index can be recognized, or only the hand can be seen, but the light perception does not disappear like when the central artery is blocked. Most people will suddenly find their eyesight blurred when they get up in the morning.

2. Fundus? The optic disc is red, the boundary is blurred, and the whole retina is covered with bleeding spots, especially the posterior pole. It is mainly shallow flame-like or strip-like, and round or irregular deep bleeding can also be seen near the periphery or at the bleeding place. Mixed bleeding at the exudation point. Retinal edema, especially in the posterior pole. The diameter of retinal artery is narrow, which may be caused by reflex contraction or arteriosclerosis. Veins dilate and bend. Retinal edema and hemorrhage partially block blood vessels, often involving macula. When the obstruction is incomplete, the above-mentioned fundus changes are mild, and some obstruction develops slowly.

3. Fluorescent angiography? Bleeding will block fluorescence. When superficial bleeding gradually absorbed, fluorescein angiography showed a large number of capillaries without perfusion area. About 2 ~ 3 months after onset, fluorescein angiography can show the formation of microvessels or neovascularization, and the short circuit of collateral circulation or communicating branches. The above typical manifestations are also called ischemic or hemorrhagic retinal vein occlusion. When the patient's fundus bleeding is small and thin, his vision is good, and fluorescein angiography has no capillary perfusion, he is used to thinking that it is retinal vein insufficiency occlusion, also known as non-ischemic or stasis retinal vein occlusion.

(2) Central retinal vein occlusion? There are two central venous trunks on the optic disc of the affected eye, one of which is blocked. Retinal hemorrhage, edema and exudation occurred in the half fundus of the eye that blocked venous drainage.

(3) Branch retinal vein occlusion Branch retinal vein occlusion is more common in clinic than central venous occlusion. It is often a complication of hypertensive arteriosclerosis. Young patients may get sick after vasculitis. Fundus lesions are limited to the drainage range of blocked branches. Usually located at the intersection of arteries and veins. Retinal hemorrhage, edema and exudation are triangular in distribution. The tip of the triangle indicates the position of the blockage. The size of the occluded branch varies with the position. Obstruction of a small branch of macula also seriously affects vision.

Second, the visual field and vitreous changes

The visual field changes caused by retinal branch vein occlusion vary with the location and scope of occlusion, which can be manifested as central scotoma and paracentral scotoma, or local visual field defect, or peripheral visual field contraction centripetal. Partial vitreous detachment is easy to be accompanied by neovascularization and vitreous hemorrhage.

treat cordially

Systematic therapy? Hypertension, arteriosclerosis, hyperlipidemia, diabetes, blood condition and infection focus should be dealt with accordingly.

(2) Anticoagulation therapy? Anticoagulant or fibrinolytic drugs, such as aspirin and dipyridamole, can be used with caution in the early stage of onset to reduce coagulation, promote fibrinolysis and prevent platelet aggregation.

(3) Photocoagulation therapy? Local photocoagulation and diffusion photocoagulation are used to reduce macular edema and prevent neovascularization. Argon laser photocoagulation has the best effect. After photocoagulation, retinal edema, exudation and bleeding in the lesion area are gradually absorbed to prevent the harm of new blood vessels in the future.

I hope patients can receive standardized treatment in time and wish you a speedy recovery.

Zibo served as doctor's eye clinic.