摘要
目的:探讨视网膜切开手术在外伤出血性视网膜脱离的救治中的应用价值,评估影响视网膜切开术预后的相关因素。方法:我院2000-01/2005-05收治的外伤性玻璃体积血伴出血性视网膜脱离患者30例30眼,男27例,女3例。A组行视网膜切开手术21例21眼,B组行单纯玻璃体切割手术9例9眼。3～6mo行硅油取出手术。所有患者随访时间在6mo以上。结果:视网膜切开组的21例患者中术后有17例获得了有效视力,占81%;视力为0.02或以上者有19例,占90%。最好视力为0.4+。单纯玻璃体切割组患者中有3例患者脱离盲,占33%。0.02以上视力患者5例,占56%。将两组数据进行统计分析视网膜切开组治疗效果较单纯玻璃体切割组有显著性意义(P<0.05)。结论:合理应用玻璃体切割联合视网膜切开手术可改善出血性视网膜脱离患者的预后,减少视网膜下增殖,减少术后并发症,促进视网膜功能恢复,挽救患者的视功能,提高患者的术后生活质量。
AIM： To investigate the effects of retinotomy for treatment of traumatic hemorrhagic retinal detachment.To evaluate the relative factor.
METHODS： 30 eyes of traumatic hemorrhagic retinal detachment underwent retinotomy or vitrectomy.The silicon oil removal will be done after 3-6 months.Postoperation Follow-up with outcome measures included retinal reattachment ,visual acuity and intraocular pressure etc for at least 6 months.
RESULTS： In 21 eyes with the treatment of retinotomy,17 （81%） had valid visual acuity;19 （90%）had visual acuity of 0.02 or more, the best visual acuity of these eyes is 0.4^＋.In 9 eyes with the treatment of vitrectomy,3（33%） eyes had visual acuity of 0.05 or more,5（56%） eyes had visual acuity of 0.02.
CONCLUSIONS： Retinotomy with vitrectomy in the surgery for traumatic hemorrhagic retinal detachment is an effective procedure.It may improve the prognosis of hemorrhagic retinal detachment, save the visual function of some patients and decrease the complications.
出处
《国际眼科杂志》
CAS
2006年第4期905-907,共3页
International Eye Science
