玻璃体切割联合硅油填充治疗增殖性糖尿病视网膜病变玻璃体积血的临床观察

Clinical observation of vitrectomy and silicone oil for treatment of vitreous hemorrhage in proliferative diabetic retinophy

目的:观察玻璃体切割联合硅油填充对增殖性糖尿病视网膜病变玻璃体积血的治疗效果。方法:选择增殖性糖尿病视网膜病变玻璃体积血患者23例(23眼),所有患者完善全身及眼科检查后行玻璃体切割及全视网膜光凝,并同时进行硅油填充。术后随访12个月。结果:23眼术后视力均提高,4眼出现眼压升高。23眼术后均行视网膜补充光凝1~3次,于术后3~6月取出硅油,均未出现视网膜脱离、大量玻璃体积血等严重并发症。结论:玻璃体切割联合硅油填充术治疗增殖性糖尿病视网膜病变玻璃体积血安全有效,硅油填充为术后视网膜补充光凝争取了时间,降低了术后复发出血的可能性,挽救了患者的视力。

Objective: To observe the efficacy of vitrectomy and silicone oil for treatment of vitreous hemorrhage in proliferative diabetic retinophy.Methods:Vitrectomy、photocoagulation and silicone oil was performed in 23 cases(23 eyes) of vitreous hemorrhage in proliferative diabetic retinophy.After sugery all cases were followed up for 12 months.Results:After operation,the visual acuity of 23 eye was all improved.In traocular pression of 4 eyes was higher than normal.Retinal photocoagulation was performed in all 23...