解放军医学院学报
解放軍醫學院學報
해방군의학원학보
Academic Journal of Chinese Pla Medical School
2013年
7期
673-675
,共3页
睫状体解离%玻璃体积血%玻璃体切除术
睫狀體解離%玻璃體積血%玻璃體切除術
첩상체해리%파리체적혈%파리체절제술
cyclodialysis%vitreous hemorrhage%vitrectomy
目的评价玻璃体切除、眼内光凝联合眼内填充术治疗睫状体解离伴玻璃体积血的临床效果。方法回顾性分析26例玻璃体切除、眼内光凝联合眼内填充术治疗外伤性睫状体解离伴玻璃体积血的临床资料，对有关数据进行统计学分析。结果患者术后最佳矫正视力(logarithm of mininal angle resolution，LogMAR)较术前提高0.04±0.10(P=0.057)；眼内压较术前增加(6.15±3.87) mmHg (1 mmHg=0.133 kPa)(P=0.000)；前房深度较术前增加(0.59±0.67) mm(P=0.000)；前房容积较术前增加(71.23±50.81)μl(P=0.000)。一过性高眼压发生率为11.5%；白内障发生率为84.6%。结论玻璃体切除、眼内光凝联合眼内填充治疗外伤性睫状体解离伴玻璃体积血疗效满意，术后择期行白内障超声乳化联合人工晶体植入术可以更好地改善视力。
目的評價玻璃體切除、眼內光凝聯閤眼內填充術治療睫狀體解離伴玻璃體積血的臨床效果。方法迴顧性分析26例玻璃體切除、眼內光凝聯閤眼內填充術治療外傷性睫狀體解離伴玻璃體積血的臨床資料，對有關數據進行統計學分析。結果患者術後最佳矯正視力(logarithm of mininal angle resolution，LogMAR)較術前提高0.04±0.10(P=0.057)；眼內壓較術前增加(6.15±3.87) mmHg (1 mmHg=0.133 kPa)(P=0.000)；前房深度較術前增加(0.59±0.67) mm(P=0.000)；前房容積較術前增加(71.23±50.81)μl(P=0.000)。一過性高眼壓髮生率為11.5%；白內障髮生率為84.6%。結論玻璃體切除、眼內光凝聯閤眼內填充治療外傷性睫狀體解離伴玻璃體積血療效滿意，術後擇期行白內障超聲乳化聯閤人工晶體植入術可以更好地改善視力。
목적평개파리체절제、안내광응연합안내전충술치료첩상체해리반파리체적혈적림상효과。방법회고성분석26례파리체절제、안내광응연합안내전충술치료외상성첩상체해리반파리체적혈적림상자료，대유관수거진행통계학분석。결과환자술후최가교정시력(logarithm of mininal angle resolution，LogMAR)교술전제고0.04±0.10(P=0.057)；안내압교술전증가(6.15±3.87) mmHg (1 mmHg=0.133 kPa)(P=0.000)；전방심도교술전증가(0.59±0.67) mm(P=0.000)；전방용적교술전증가(71.23±50.81)μl(P=0.000)。일과성고안압발생솔위11.5%；백내장발생솔위84.6%。결론파리체절제、안내광응연합안내전충치료외상성첩상체해리반파리체적혈료효만의，술후택기행백내장초성유화연합인공정체식입술가이경호지개선시력。
Objective To assess the clinical effect of vitrectomy combined with intra-ocular photocoagulation and padding on cyclodialysis with vitreous hemorrhage. Methods Clinical data about 26 patients with traumatic cyclodialysis accompanying vitreous hemorrhage after vitrectomy combined with intra-ocular photocoagulation and padding were retrospectively analyzed. Results The best corrected visual acuity(BCVA), intra-ocular pressure (IOP), anterior chamber depth (ACD), and anterior chamber volume (ACV) of the patients were 0.04±0.10, (6.15±3.87) mmHg (1 mmHg=0.133 kPa), (0.59±0.67) mm, and 71.23±50.81μl higher after operation than before operation (P<0.05). The incidence of transient high intra-ocular pressure and cataract was 11.5%and 84.6%, respectively. Conclusion Vitrectomy combined with intra-ocular photocoagulation and padding is very effective on cyclodialysis with vitreous hemorrhage. Phacoemulsification combined with artificial len implantation can improve the visual acuity of patients with traumatic cyclodialysis accompanying vitreous hemorrhage.
