视网膜光凝术治疗视网膜静脉阻塞所致玻璃体积血的临床体会

Retinal photocoagulation in treating vitreous hemorrhage caused by retinal vein occlusion

目的:应用视网膜光凝术治疗视网膜静脉阻塞(RVO)所致的玻璃体积血,观察其保存视力、阻止病变发展为增殖性视网膜病变的临床效果。方法:选择RVO致玻璃体积血患者15例15眼,根据出血量多少决定光凝治疗时机,逐步完成全部阻塞区的激光治疗;术后观察视力、出血吸收及新生血管性青光眼消退等情况。结果:患者15例完成光凝时间历时1wk^6mo,光凝次数1~8次。14例玻璃体积血全部吸收,视力稳定或提高,达到临床治愈;1例发生反复出血,未愈;2例新生血管性青光眼消退。结论:对于适当病例,视网膜光凝术可有效治疗RVO所致玻璃体积血,并使已发生的继发性青光眼消退。

AIM： To evaluate the clinical effect of retinal photo- coagulation in treating vitreous hemorrhage （ VH） caused by retinal vein occlusion （RVO）. METHODS： Fifteen patients （15 eyes） diagnosed VH caused by RVO underwent retinal photocoagulation treatment. All the patients＇ visual acuity （VA）, absorption of VH and disappearance of neovascular glaucoma were observed and recorded. RESULTS： With retinal photocoagulation, the VH was absorbed completely in 14 cases whose VA remained stable or improved, and VH recurred in the otherwise one case. Two cases with neovascular glaucoma were fully recovered, and making secondary glaucoma fade away. CONCLUSION： Retinal photocoagulation is effective in treating VH caused by RVO in proper patients, and making secondary glaucoma fade away.