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视网膜下新生血管膜及出血的手术治疗
引用本文:吕林,高汝龙.视网膜下新生血管膜及出血的手术治疗[J].中华眼科杂志,1996,32(4):277-281.
作者姓名:吕林  高汝龙
作者单位:中山医科大学中山眼科中心
摘    要:目的探讨手术治疗视网膜下新生血管膜的适应证、手术方式及疗效。方法对6例视网膜下新生血管膜及出血的患者行现代玻璃体视网膜手术治疗。通过玻璃体切除、眼内激光、视网膜切开、视网膜下膜或出血的取出等方式治疗。手术前、后行眼底荧光血管造影、自动视野计检查,以评价手术疗效。结果随访4~7个月,4例视功能有不同程度的改善,其中2例视力为0.3以上,2例视功能保持不变。结论掌握好适应证,手术治疗对清除视网膜下新生血管膜及出血是一种可行的治疗方法。

关 键 词:视网膜  新生血管  外科.手术

Vitreoussurgeryforsubretinalneovascularmembraneandhemorrhage
LuLin,GaoRulong,WuLezheng.ZhongshanOphthalmicCenter,SunYat-senUniversityofMedicalSciences,Guangzhou.Vitreoussurgeryforsubretinalneovascularmembraneandhemorrhage[J].Chinese Journal of Ophthalmology,1996,32(4):277-281.
Authors:LuLin  GaoRulong  WuLezhengZhongshanOphthalmicCenter  SunYat-senUniversityofMedicalSciences  Guangzhou
Institution:LuLin,GaoRulong,WuLezheng.ZhongshanOphthalmicCenter,SunYat-senUniversityofMedicalSciences,Guangzhou510060
Abstract:ObjectiveTostudytheindications,techniquesandtherapeuticefectsofvitreoussurgeryforsubretinalneovascularmembranes.Methods6casesofsubretinalneovascularizationandsubretinalhemorrhageweretreatedbyvitreoretinalsurgery.Thesurgicaltechniquesconsistedofthree-portparsplanavitrectomy,intraocularlaser,retinotomy,subretinalneovascularmembranere-sectionorhemorrhageremoval,air-fluidexchange,etc.Thepreandpost-operativeexaminationsin-cludedfundusfluoresceinangiography(FFA),Humphryvisualfieldtoevaluatethetherapeuticef-fectsofthesurgery.ResultsThepostoperativefolow-uprangedfrom4to7months.Thevisualacuitiesof4casesimproved,0.3oroverin2casesandunchangedin2cases.ConclusionSubretinaloperationmaybeasafeandefectivemethodtotreatsubretinalneovascularizationiftheindicationwaswelmastered.
Keywords:RetinaNeovascularizationVitreoretinalsurgery  
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