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目的：探讨视乳头周围视网膜下出血（ｐｅｒｉｐａｐｉｌａｒｙｓｕｂｒｅｔｉｎａｌｈｅｍｏｒｈａｇｅ，ＰＰＳＲＨ）的临床特征和鉴别诊断。方法：对３７例ＰＰＳＲＨ患者３８只眼的眼部表现及眼底荧光血管造影（ｆｕｎｄｕｓｆｌｕｏｒｅｓｃｅｉｎａｎｇｉｏｇｒａｐｈｙ，ＦＦＡ）等临床资料作回顾性分析。结果：３７例中，３６例为近视眼，平均年龄为２１岁，３６例为单眼发病。单纯ＰＰＳＲＨ５只眼，ＰＰＳＲＨ伴视乳头表面出血２１只眼，ＰＰＳＲＨ伴玻璃体出血２只眼，ＰＰＳＲＨ伴视乳头表面出血及玻璃体出血１０只眼。ＦＦＡ显示ＰＰＳＲＨ为遮蔽荧光，晚期视乳头有不规则强荧光。所有患者在３周至３个月之内出血完全自行吸收。结论：根据ＦＦＡ表现，推测ＰＰＳＲＨ是视乳头埋藏性玻璃疣的并发症。
Objective: To investigate the clinical features and differential diagnosis of peripapillary dermal subhemorrhage (PPSRH). Methods: The clinical data of 38 eyes of 37 PPSRH patients and the fundus fluorescein angiography (FFA) were analyzed retrospectively. Results: Of the 37 cases, 36 were myopic eyes, with an average age of 21 years and 36 with monocular disease. PPSRH5 eyes only, PPSRH with visual papillary hemorrhage in 21 eyes, PPSRH with vitreous hemorrhage in 2 eyes, PPSRH with optic disc surface bleeding and vitreous hemorrhage in 10 eyes. FFA showed PPSRH shading fluorescence, advanced papillary irregular fluorescence. All patients were completely self-absorbed within 3 weeks to 3 months. Conclusion: According to the FFA performance, it is speculated that PPSRH is a complication of buried drusen.