视网膜孔源性玻璃体出血23例临床分析

Clinical analysis of 23 cases with rhegmatogenous retinal vitreous hemorrhage

目的:探讨视网膜裂孔源性玻璃体出血的发病原因、临床特征和治疗效果。方法:收集了自发性玻璃体出血病例23眼,玻璃体出血原因均为马蹄形视网膜裂孔伴裂孔区血管撕裂所致,2眼为单纯视网膜裂孔并发玻璃体出血,21眼为孔源性视网膜脱离并发玻璃体出血;3眼行单纯激光治疗,20眼行外路视网膜脱离手术或玻璃体切除手术。结果:经激光或手术治疗后23眼均无出血复发,裂孔封闭,22眼视力好于或等于术前,1眼视网膜脱离复发为牵拉型视网膜脱离。结论:孔源性玻璃体出血是玻璃体积血的重要原因之一,尽早明确诊断、及时治疗可以取得满意疗效,避免严重并发症。

AIM：To investigate the pathogenesis, clinical features and treatment of retinal vitreous hemorrhage . METHODS： Twenty-three eyes of spontaneous vitreous hemorrhage were collected, the reason of vitreous hemorrhage was the horse shoe-shaped retinal hole associated with vessel breaks 2 eyes were with the simple concurrent vitreous hemorrhage, 21 eyes were with rhegmatogenous retinal detachment complicated with vitreous hemorrhage; 3 eyes were performed only with laser treatment, 20 eyes underwent extra-retinal detachment surgery or vitrectomy.RESULTS： After laser or surgical treatment, there was no bleeding recurrence in the 23 eyes, hole was closed, the visual acuity of 22 eyes was better than or equal to that of preoperative, 1 eye of recurrent retinal detachment was the traction retinal detachment. CONCLUSION： Rhegmatogenous vitreous hemorrhage is a major reason for vitreous hemorrhage, early diagnosis and timely treatment can achieve a satisfactory effect and avoid serious complications.