玻璃体切割术治疗视网膜静脉周围炎伴玻璃体出血

Vitrectomy for Eales' disease with vitreous hemorrhage

目的 :评价玻璃体切割术治疗视网膜静脉周围炎伴玻璃体出血的疗效。方法 :回顾性分析我院自 1999年 3月至2 0 0 2年 9月经玻璃体切割术治疗的视网膜静脉周围炎伴玻璃体出血患者 13例 18只眼的临床资料。结果 :随访期为 7个月～ 4年 ,平均 2 3个月。 18只眼视网膜均在位 ,16只眼 (88 9% )视力较术前有不同程度的提高 ,其中视力≥ 0 3者 11只眼(71% ) ,最好视力为 1 0。术后玻璃体再出血 2例 ,经药物治疗后出血吸收。无新生血管性青光眼发生。结论 :玻璃体切割术是治疗视网膜静脉周围炎伴玻璃体出血的有效方法 ,可明显改善患者视力 ;结合术中及术后激光光凝治疗 。

Objective:To evaluate the therapeutic effects of vitrectomy for Eales'disease with vitreous hemorrhage.Methods:The deta of 13 patients(18 eyes) of Eales'disease with vitreous hemorrhage who underwent vitrectomy from March,1999 to September,2002 were studied retrospectively.Results:The follow-up period was 1 year to 4 years(average,23 months).At the final examinations,the retinas were all attached,with improved visual acuity in 16 eyes(88.9%)of which 11 eyes(71%)reached 0.3 or better,the best visual acuity was 1.0.Recurrent vitreous hemorrhage occurred in only 2 eyes,and absorbed after drug therapy.No neovascular glaucoma occurred.Conclusion:Vitrectomy is an effective method for Eales'disease with vitreous hemorrhage.It can improve the visual acuity markedly.Combined with photocoagulation,it can also effectively prevent the recurrent vitreous hemorrhage and other complications.