中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
11期
818-820
,共3页
玻璃体后脱离,急性%视网膜裂孔%玻璃体积血
玻璃體後脫離,急性%視網膜裂孔%玻璃體積血
파리체후탈리,급성%시망막렬공%파리체적혈
Detachment,posterior,vitreous,acute%Tear retinal%Hemorrhage,vitreous
目的 探讨急性玻璃体后脱离致视网膜裂孔伴玻璃体积血的治疗方式及疗效.方法 回顾性分析31眼视网膜裂孔合并玻璃体积血,早期予双眼包扎、半卧位、止血,出血3d后予活血化瘀、促进玻璃体积血吸收治疗.根据病情变化采用激光封闭裂孔及行20G三通道闭合式玻璃体切除术治疗.所有病例至少随访12个月.结果 23眼玻璃体积血在1周～3个月,平均(32.95±12.61)d吸收,采用视网膜激光治疗,裂孔完全封闭,视力无明显变化.4周内,3眼发生孔源性视网膜脱离,行玻璃体切除术治疗,术后1眼矫正视力提高,2眼矫正视力无明显提高.5眼玻璃体积血无明显吸收,2～4周内采用玻璃体切除术,术后视力明显提高,矫正视力0.3 ～0.6.结论 急性玻璃体后脱离引起的视网膜裂孔伴玻璃体积血应引起高度重视.早期诊断并发现裂孔、及时光凝封闭裂孔是获得良好结果的关键.尽早手术是争取较好疗效的重要保障.
目的 探討急性玻璃體後脫離緻視網膜裂孔伴玻璃體積血的治療方式及療效.方法 迴顧性分析31眼視網膜裂孔閤併玻璃體積血,早期予雙眼包扎、半臥位、止血,齣血3d後予活血化瘀、促進玻璃體積血吸收治療.根據病情變化採用激光封閉裂孔及行20G三通道閉閤式玻璃體切除術治療.所有病例至少隨訪12箇月.結果 23眼玻璃體積血在1週～3箇月,平均(32.95±12.61)d吸收,採用視網膜激光治療,裂孔完全封閉,視力無明顯變化.4週內,3眼髮生孔源性視網膜脫離,行玻璃體切除術治療,術後1眼矯正視力提高,2眼矯正視力無明顯提高.5眼玻璃體積血無明顯吸收,2～4週內採用玻璃體切除術,術後視力明顯提高,矯正視力0.3 ～0.6.結論 急性玻璃體後脫離引起的視網膜裂孔伴玻璃體積血應引起高度重視.早期診斷併髮現裂孔、及時光凝封閉裂孔是穫得良好結果的關鍵.儘早手術是爭取較好療效的重要保障.
목적 탐토급성파리체후탈리치시망막렬공반파리체적혈적치료방식급료효.방법 회고성분석31안시망막렬공합병파리체적혈,조기여쌍안포찰、반와위、지혈,출혈3d후여활혈화어、촉진파리체적혈흡수치료.근거병정변화채용격광봉폐렬공급행20G삼통도폐합식파리체절제술치료.소유병례지소수방12개월.결과 23안파리체적혈재1주～3개월,평균(32.95±12.61)d흡수,채용시망막격광치료,렬공완전봉폐,시력무명현변화.4주내,3안발생공원성시망막탈리,행파리체절제술치료,술후1안교정시력제고,2안교정시력무명현제고.5안파리체적혈무명현흡수,2～4주내채용파리체절제술,술후시력명현제고,교정시력0.3 ～0.6.결론 급성파리체후탈리인기적시망막렬공반파리체적혈응인기고도중시.조기진단병발현렬공、급시광응봉폐렬공시획득량호결과적관건.진조수술시쟁취교호료효적중요보장.
Objective To discuss the treatment and efficacy of retinal tear associated with vitreous hemorrhage caused by acute posterior vitreous detachment.Methods 31 eyes with retinal tear with vitreous hemorrhage were included in the retrospective study.All cases were treated by binding up the eyes,semireclining position,hemostasis and enhancing the blood clearance subsequently at the early state.Laser photocoagulation or 20G pars plana vitrectomy were adopted depending on patients'condition.All cases had a followed-up for at least 12 months.Results 23 eyes underwent laser photocoagulation making for blocking retinal tears with clearance of vitreous hemorrhage within 1 week to 3 month,mean time (32.95 ± 12.61) days.Visual acuity of those cases were not influenced significantly.3 eyes occurred rhegmatogenous retinal detachment within 4 weeks underwent vitrectomy.Postoperative corrected visual acuity of 1 in 3 eyes was improved and no change in 2 eyes.5 eyes with no obvious vitreous hemorrhage absorption within 2 weeks to 4 weeks underwent vitrectomy.Postoperative visual acuity of 5 eyes were improved to be 0.3 ～ 0.6.Conclusion Retinal tear associated with vitreous hemorrhage caused by acute posterior vitreous detachment should be attended to.Early diagnosis with tears location and timely photocoagulation were the keys to win favorable result.Early vitrectomy also guaranted better visual acuity.
