最後更新:2026年10月1日
血液積聚於眼前房 (虹膜與角膜之間) 的病理狀態。非獨立疾病,需積極排查外傷、凝血異常、全身性高血壓、眼內腫瘤等根本原因。大量前房出血可阻塞房角導致續發性青光眼。
貓常見原因為全身性高血壓、慢性葡萄膜炎、眼內淋巴瘤。
犬常見原因為外傷、凝血異常 (抗凝血劑中毒、ITP)、眼內腫瘤。
可點的項目會開啟該疾病頁。要依症狀與檢驗排出完整清單,請用鑑別診斷工具。
建議:依臨床狀況調整
監測頻率:青光眼 q4-6h(急性);每次回診
[1]Angiostrongylus vasorum in the eye: new case reports and a review of the literature.
[2]Lipoxin A4 (LXA4) Reduces Alkali-Induced Corneal Inflammation and Neovascularization and Upregulates a Repair Transcriptome.
[3]Biocompatibility and feasibility of VisiPlate, a novel ultrathin, multichannel glaucoma drainage device.
建議數日內就診評估,非立即危及生命但不宜拖延 (evaluation within days recommended, not immediately life-threatening)
取決於根本原因與出血量。輕度外傷性前房出血多在 1-2 週自行吸收。眼內腫瘤性預後差。大量出血伴續發性青光眼預後謹慎。角膜血染可能需數月消退。
Diagnostic Approach for Hyphema
Menace response, PLR, Schirmer tear test, fluorescein staining, tonometry
Detailed anterior segment examination including conjunctiva, cornea, iris, lens
Direct and indirect ophthalmoscopy; ocular ultrasound if media opacity prevents visualization