CAJ | 학술논문

目的：探讨23 G微创玻璃体切割术治疗Terson 综合征的疗效。 　　方法：对伴有严重玻璃体积血的6例11眼Terson综合征患者在保守治疗无效后行23 G微创玻璃体切割术，术中根据视网膜情况行剥膜或硅油填充，观察术后视力、视网膜及并发症情况。 　　结果：术后所有患者的视力均有明显提高，11眼中8眼（73％）术后视力≥0．5，1眼（9％）因术前存在严重的玻璃体视网膜增殖性病变和视网膜脱离，术后视力低于0．1。 　　结论：23 G微创玻璃体切割术是治疗Terson综合征的有效手段，大部分患者术后视力恢复较好，但增殖性病变严重的患者术后视力欠佳，对于Terson综合征在保守治疗无效的情况下建议早期行23 G微创玻璃体切割术干预。
목적：탐토23 G미창파리체절할술치료Terson 종합정적료효。 　　방법：대반유엄중파리체적혈적6례11안Terson종합정환자재보수치료무효후행23 G미창파리체절할술，술중근거시망막정황행박막혹규유전충，관찰술후시력、시망막급병발증정황。 　　결과：술후소유환자적시력균유명현제고，11안중8안（73％）술후시력≥0．5，1안（9％）인술전존재엄중적파리체시망막증식성병변화시망막탈리，술후시력저우0．1。 　　결론：23 G미창파리체절할술시치료Terson종합정적유효수단，대부분환자술후시력회복교호，단증식성병변엄중적환자술후시력흠가，대우Terson종합정재보수치료무효적정황하건의조기행23 G미창파리체절할술간예。
AIM: To observe the effect of 23G micro invasive vitrectomy in treating Terson syndrome. METHODS: Six cases ( 11 eyes ) of Terson syndrome with severe vitreous hemorrhage were performed 23G micro invasive vitrectomy since conservative treatment did not show effect on them. Membrane peeling and silicone oil tamponade were applied according to the retinal conditions.We observed the postoperative visual acuity ( VA) , retina and complications. RESULTS: All the cases had obvious improvement of postoperative VA,in which 8 eyes in 11 ( 73%) was better than 0.5.The postoperative VA of one eye ( 9%) were less than 0.1 because of pre -existing proliferative vitreoretinal diseases and retinal detachment. CONCLUSION: 23G micro invasive vitrectomy is an effective approach in treating Terson syndrome.Most of the cases indicate good visual outcome.However, the cases with severe proliferation have poor outcome.We recommend performing an early 23G micro invasive vitrectomy for the failure of conservative treatment in Terson syndrome.