摘要
目的:探讨孔源性视网膜脱离伴玻璃体积血的发病原因、临床特征和玻璃体切割术的治疗效果。方法:回顾分析24例24眼因孔源性视网膜脱离伴玻璃体积血接受玻璃体切割手术治疗患者的临床资料。结果:年龄<45岁的青年组共11例;年龄45～59岁的中年组共9例;年龄>60的老年组4例。21例为马蹄形裂孔,其中马蹄形裂孔<1PD者2例,1PD～<2PD者14例,2PD～<1象限者5例;圆形裂孔者3例,均<1PD。裂孔位于视网膜颞上方者13例,颞下方者8例,鼻上方者3例;视网膜脱离范围:颞上方者10例,鼻上者2例,全脱者1例,下方者11例。病程和术后视力:1mo组16例,视力0.2～0.4者13例,≥0.5者3例;2mo组5例,视力0.01～0.1者3例,0.2～0.4者2例;3mo组1例,视力0.01～0.1;>3mo组2例,视力手动1例,数指1例。结论:孔源性视网膜脱离伴玻璃体积血尽早明确诊断并及时行玻璃体切割手术能够取得较好疗效。
AIM： To investigate the pathogenesis, clinical features of rhegmatogenous retinal detachment with vitreous hemorrhage and the treatment effect of vitrectomy. METHODS： Clinical data of 24 cases （24 eyes） treated with vitrectomy for rhegmatogenous retinal detachment with vitreous hemorrhage was analyzed retrospectively. RESULTS： In youth group （〈45 years old）, there were 11 eyes, in middle-aged group （45-59 years old）, there were9 eyes, in old group （〉60 years old）, there were 4 eyes. Twenty-one eyes were horseshoe tear, including 2 eyes with horseshoe tear〈1PD, 1PD≤14 eyes〈2PD, 2PD ≤5 eyes 〈 1 quadrant; 3 eye with round hole 〈 1PD. Thirteen eyes with retinal tear were identified in the superotemporal retina, followed by inferotemporal 8 eyes, superonasal 3 eyes. Ten eyes with retinal detachment were identified in the superotemporal retina, followed by superonasal 2 eyes, totally detached 1 eye, temporal 11 eyes. Time of vitreous hemorrhage and visual acuity after vitrectomy： in one month group, there were 16 eyes, 13 eyes with the visual acuity 0.2-0.4, 3 eyes with the visual acuity ≥ 0.5; in 2 months group, there were 5 eyes, 3 eyes with the visual acuity 0.01-0.1,2 eyes with the visual acuity 0.2-0.4; in 3 months group, there was 1 eye, visual acuity 0. 01 -0. 1; in over 3 months group, there were 2 eyes, 1 eye with the visual acuity CF, 1 eye with the visual acuity HM. CONCLUSION： Early diagnosis and timely vitrectomy for rhegmatogenous retinal detachment with vitreous hemorrhage can achieve a better effect.
出处
《国际眼科杂志》
CAS
2013年第6期1239-1240,共2页
International Eye Science
