伴玻璃体出血的视网膜脱离

目的:探讨伴玻璃体出血的视网膜脱离的及时诊断及手术时机的选择。方法:收集68例68眼伴玻璃体出血的视网膜脱离病列进行回顾性总结和分析。结果:伴玻璃体出血的视网膜脱离发生PVR的危险性大,用单纯巩膜扣压术成功率低,往往要结合玻璃体切除术来提高成功率。结论:玻璃体出血影响眼底观察,易造成诊断困难,加之易引起眼内炎症反应和发生严重的PVR,一旦确诊应尽早手术。眼科学报 1995;11:224—226。

Retinal Detachment with Vitreous Hemorrhage

Purpose: To have the knowledge of the diagnosis in time and the choice of operations of retinal detachment with vitreous hemorrhage.Methods: Sixty eight eyes in 68 cases of retinal detachment with vitreous hemorrhage were reviewed and the main factors affect the operative effect were analysed.Results: Retinal detachment with vitreous hemorrhage usually causes PVR. The successful rate of the operation is low by scleral blucking procedure only, but it can be raised when the operation is combined with vitrectomy. Conclusions: Owing to the vitreous hemorrhage which has influence on the examination of fundus, it is difficult to make the diagnosis and treatment of retinal detachment. Furthermore, vitreous hemorrhage is easy to cause intraocular inflammatory reaction and PVR. Once the diagnosis is definite, the operation should be taken as soon as possible. Eye Science 1995; 11 : 224-226.