玻璃体切除术治疗Terson综合征视力预后相关因素分析

Analysis of the operative effect of Terson syndrome

目的:分析影响Terson综合征手术预后的相关因素。方法:回顾性分析2000-01/2008-01间收治15例(26眼)Terson综合征患者的临床资料,分析性别、年龄、病因、病程、视网膜下出血、眼内增殖、视网膜或锯齿缘裂孔等对视力提高的影响。结果:患者的病程(P<0.01)、合并视网膜下出血(P<0.05)影响患者的视力预后,而性别、年龄、眼内增殖、病因与视力预后无关。早期手术治疗有利于发现视网膜或锯齿缘裂孔,预防视网膜脱离,有利于患者的视力预后。结论:早期的手术治疗有利于患者视力的恢复,并可以早期发现视网膜裂孔或锯齿缘离断。长期存在的视网膜下出血可以影响视功能的恢复。

AIM： To analyze the relative factors which affect the vision result of the vitrectomy of Terson syndrome. METHODS： There were 15 patients （26 eyes） diagnosed as Terson syndrome in our hospital from January 2000 to January 2008. The analytical factors included sex, age, cause,course of disease,subretinal haemorrhage,intraocular proliferative member,break of retina and ora serrata. RESULTS： The vision result was effected by disease course （P〈 0.01）, subretinal haemorrhage （P 〈 0.05）. There were no significant relation between vision result and sex, age, intraocular proliferative member cause of disease etc. And early operation had benefit on finding retinal or ora serrata＇s break. CONCLUSION： The vision result of patients who has early operation are better than those who has long course disease and can find retinal or ora serrata＇s break timely. Moreover, long existence of subretinal haemorrhage can injury the vision results.