CAJ | 학술논문

目的评价23G微创玻璃体切除早期治疗Terson综合征的临床效果.方法回顾性总结Terson综合征8例(11眼).术前视力光感～0.12,病程15 ～42 d.11眼均采用23G微创玻璃体手术,术中根据视网膜情况,C3 F8填充3眼,硅油填充1眼,平衡液(BSS)填充7眼.结果 Terson 综合征玻璃体积血表现为弥散性玻璃体积血、积聚于后极部视网膜前、部分视网膜下出血.随访时间36 d～7个月.最终视力:0.1者1眼、0.12～0.3者4眼、＞0.3者6眼.随诊中未出现视网膜脱离或黄斑视网膜前膜等并发症.结论 Terson综合征早期玻切治疗手术效果较好,能有效避免并发症.
목적 평개23G미창파리체절제조기치료Terson종합정적림상효과.방법 회고성총결Terson종합정8례(11안).술전시력광감～0.12,병정15 ～42 d.11안균채용23G미창파리체수술,술중근거시망막정황,C3 F8전충3안,규유전충1안,평형액(BSS)전충7안.결과 Terson 종합정파리체적혈표현위미산성파리체적혈、적취우후겁부시망막전、부분시망막하출혈.수방시간36 d～7개월.최종시력:0.1자1안、0.12～0.3자4안、＞0.3자6안.수진중미출현시망막탈리혹황반시망막전막등병발증.결론 Terson종합정조기파절치료수술효과교호,능유효피면병발증.
Objective To evaluate the clinical effect of 23G vitrectomy in early treatment of terson syndrome.Methods The data of eight cases (11 eyes) of terson syndrome were retrospectively analyzed in this study.Preoperative vision rangeed from light perception to 0.12,the course of disease was from 15 to 42 days.Eleven eyes were operated by 23G vitrectomy,and tempenated with C3F8 in three eyes,silicone oil in one eye,BSS in seven eyes according to condition of retina.Results Vitreous hemorrhage of terson syndrome represented disperse hemorrhage,preretina hemorrhage,subretina hemorrhage.The followed-up time rangeed from 36 days to 7 months.The final visual acuity was 0.1 in one eye,between 0.1 to 0.3 in 4eyes,better than 0.3 in 6 eyes.Retinal detatchment and epimacular membrane weren' t found during the followed-up time.Conclusion There is a good prognosis in early treatment of terson syndrome by vitrectomy,which can avoid complications effectively.