玻璃体手术和眼内光凝治疗伴玻璃体积血和新生血管膜的视网膜静脉阻塞

目的评估玻璃体手术和眼内光凝治疗伴玻璃体积血、新生血管膜或牵拉性视网膜脱离的视网膜静脉阻塞(retinal vein occlusion,RVO)的疗效。方法复习连续的37例RVO患者经玻璃体手术和眼内光凝治疗的38只眼临床资料。视网膜分支静脉阻塞(branch retinal vein occlusion,BRVO)19例20只眼，视网膜中央静脉阻塞(central retinal vein occlusion,CRVO)18例18只眼。结果手术中确认27只眼有新生血管膜，23只眼有牵拉性视网膜脱离。手术后34只眼视力改善，占89.5%，其中22只眼有0.1以上的视力。4只眼视力未变。CRVO组病史较长，手术后视力改善较少。结论玻璃体手术和眼内光凝能改善多数伴有玻璃体积血、新生血管膜和牵拉性视网膜脱离的RVO眼预后。(中华眼底病杂志,1998,14:3-6)

Retinal vein occlusion with vitreous hemorrhage，neovascular membranes and traction retinal detachment treated with vitreous surgery and endolaser

PurposeTo evaluate the efficacy of vitreous surgery and endolaser in a series of patients with retinal vein occlusion(RVO)with vitreous hemorrhage,neovascular membranes(NVM) and/or traction retinal detachment(TRD).MethodsClinical records were reviewed on 37 consecutive patients(38 eyes)who underwent vitreous surgery and endolaser for RVO with persistent vitreous hemorrhage,NVM and/or TRD.There were 19 patients(20 eyes)with retinal branch vein occlusion (BRVO)and 18 patients(18 eyes)with central retinal vein occlusion(CRVO).ResultsNVM and TRD were confirmed during operation in 27 and 23 eyes,respectively.Visual acuity improved postoperatively in 34 eyes(89.5%)including 22 eyes with 0.1 or better vision,and 4 eyes remained unchanged.CRVO group had longer history and less visual improvement after surgery.ConclusionsVitreous surgery and endolaser photocoagulation can improve the outcome in the majority of patients with RVO with vitreous hemorrage,NVM and/or TRD.(Chin J Ocul Fundus Dis,1998,14:3-6)