玻璃体切除、眼内光凝联合眼内填充治疗睫状体解离伴玻璃体积血

Vitrectomy combined with intra-ocular photocoagulation and padding in treatment of cyclodialysis with vitreous hemorrhage

目的评价玻璃体切除、眼内光凝联合眼内填充术治疗睫状体解离伴玻璃体积血的临床效果。方法回顾性分析26例玻璃体切除、眼内光凝联合眼内填充术治疗外伤性睫状体解离伴玻璃体积血的临床资料,对有关数据进行统计学分析。结果患者术后最佳矫正视力(logarithm of mininal angle resolution,LogMAR)较术前提高0.04±0.10(P=0.057);眼内压较术前增加(6.15±3.87)mmHg(1 mmHg=0.133 kPa)(P=0.000);前房深度较术前增加(0.59±0.67)mm(P=0.000);前房容积较术前增加(71.23±50.81)μl(P=0.000)。一过性高眼压发生率为11.5%;白内障发生率为84.6%。结论玻璃体切除、眼内光凝联合眼内填充治疗外伤性睫状体解离伴玻璃体积血疗效满意,术后择期行白内障超声乳化联合人工晶体植入术可以更好地改善视力。

Objective To assess the clinical effect of vitrectomy combined with intra-ocular photocoagulation and padding on cyclodialysis with vitreous hemorrhage.Methods Clinical data about 26 patients with traumatic cyclodialysis accompanying vitreous hemorrhage after vitrectomy combined with intra-ocular photocoagulation and padding were retrospectively analyzed.Results The best corrected visual acuity（BCVA）,intra-ocular pressure（IOP）,anterior chamber depth（ACD）,and anterior chamber volume（ACV） of the patients were 0.04±0.10,（6.15±3.87） mmHg（1 mmHg=0.133 kPa）,（0.59±0.67） mm,and 71.23±50.81 μl higher after operation than before operation（P 0.05）.The incidence of transient high intra-ocular pressure and cataract was 11.5% and 84.6%,respectively.Conclusion Vitrectomy combined with intra-ocular photocoagulation and padding is very effective on cyclodialysis with vitreous hemorrhage.Phacoemulsification combined with artificial len implantation can improve the visual acuity of patients with traumatic cyclodialysis accompanying vitreous hemorrhage.