黄斑部视网膜前出血的激光治疗

Laser treatment for premacular hemorrhage

目的 探讨黄斑部视网膜前出血的有效治疗措施。方法 对黄斑部视网膜前出血范围大于 2PD的 36例 ,36只眼分别进行常规保守治疗 2 5例 ,激光引流出血于玻璃体辅以药物治疗 11例。结果 2 5例常规保守治疗组视力恢复时间平均 2 4 d;黄斑部视网膜前出血吸收时间平均 4 0 d。11例激光治疗组中引流成功者 10例 ,该 10例视力平均恢复时间为 5 d,黄斑部视网膜前出血吸收时间为 11d。

Objective To evaluate the effective method for treatment of premacular hemorrhage. Methods In 36 cases (36 eyes) of premacular hemorrhage (2PD),25 cases were treated with medicine, and 11 cases were treated with laser surgery and medicine. Results In 25 patients treated with medicine, the average time of vision recovery was 24 days and the average time of clearance of vitreous hemorrhage was 40 days; in the other 11 patients treated with laser surgery and medicine,10 were treated successfully, and in these 10 patients, the average time of vision recovery were 5 days and the average time of clearance of premacular hemorrhage were 11 days in 10 cases which were operated successfully with laser in 11 cases. Conclusions Laser surgery of inducing preretinal hemorrhage to vitreous body is an effective method for treatment of premacular hemorrhage to relieve the impaired central vision.