不明原因玻璃体混浊切割术后病因初探

Primary study on etiological factors of unidentified vitreous opacity after vitrectomy

目的 对术前不明原因的玻璃体混浊病例切割术后进行病因分析 ,为此类疾病的处置作一些有益探索。方法 回顾性分析近 3年接受玻璃体切割手术治疗的 45例不明原因玻璃体混浊患者的临床资料 ,对术中及术后所获得的有关病因信息进行归纳剖析。结果 在本组玻璃体混浊接受玻璃体切割手术的患者中 ,老年患者以视网膜静脉阻塞和不明原因多见 ;年轻患者以静脉炎、近视多见。结论 老年患者无明确病因的玻璃体混浊应尽早行玻璃体切割术 ,以利于患者视力的尽早恢复 ,有助于防止并发症的发生。

Objective To explore etiological factors of unidentified vitreous opacity after vitrectomy and helpful therapy. Methods In a period of three years,45 cases with unidentified vitreous opacity were analyzed retrospectively and information about etiological factors during and after operation were collected. Results Retinal vein occlusion and unidentified etiological factors in the old ages were common; while Eales's disease and myopia in young people. Conclusion Vitrectomy should be performed early in the elderly patients with unknown etiological factors in order to restore visual acuity early and prevent complications.