玻璃体切割联合倍频Nd:YAG 532nm激光治疗视网膜血管炎

Observation of vitrectomy and Nd:YAG 532nm laser on treatment of retinal vasculitis

目的:分析玻璃体切除联合倍频Nd:YAG 532nm激光治疗视网膜血管炎的临床效果。方法:回顾性分析36例36眼玻璃体切除联合倍频Nd:YAG 532nm激光治疗视网膜血管炎的临床资料。结果:视网膜血管炎36例中以视网膜动脉炎为主者2例,炎症侵犯视网膜静脉为主者4例,炎症同时波及动静脉者30例;术中并发症:1例发生晶状体损伤混浊,医源性视网膜裂孔6例;锯齿缘截离3例。术后并发症:视网膜再脱离2例,发生前房积血2例,发生高眼压9例;36例术后最佳视力较术前均有明显改善,其中0.02～0.1者2例(6%),0.12～0.4者22例(61%),0.5～1.0者12例(33%)。结论:玻璃体切除联合倍频Nd:YAG 532nm激光是治疗视网膜血管炎的有效方法。

~ AIM：To report the effects of the vitrectomy combined with Nd： YAG 532nm laser on treatment of retinal vasculitis. ~ METHODS： Data of 36 cases （36 eyes）with retinal vasculitis undergoing vitrectomy and Nd： YAG 532nm laser treatment were analyzed retrospectively. RESULTS：Two cases were retinal arteritis,4 cases were retinal phlebitis and 30 cases＇ damnification were on both artery and vein of retina in 36 cases. The damnification of lens was in 1 case, iatrogenic retinal hole was in 6 cases and dialysis of ora serrata was in 3 cases in operation. 2 cases were of retina detachment again, 2 cases of hyphema and 9 cases of ocular hypertension after operation. The best visual acuity of 36 cases were improved, which was 0.02 to 0.1 in 2 cases（6% ）, 0.12 to 0.4 in 22 cases（61%）and 0.5 to 1.0 in 12 cases（33%）. CONCLUSION： Vitrectomy combined with Nd： YAG 532nm laser is an effective treatment for retinal vasculitis.