视网膜血管瘤13例诊疗分析

目的通过对13例视网膜血管瘤的诊断、治疗的分析,了解视网膜脱离与视网膜血管瘤的诊断、治疗、预后的关系。方法对13例视网膜血管瘤进行回顾性分析,其中包括一例Von-HippelLindau病。结果13例病例中,11例伴有视网膜脱离,2例单纯视网膜血管瘤患者。在接受治疗的12位患者中,11例可经氩离子激光光凝治疗后视网膜脱离复位,血管瘤萎瘤。1例视网膜隆起程度高、网膜出现机化僵硬,氩离子光凝治疗后仍需冷冻治疗。患者视网膜脱离时间越长,越接近黄斑部,视力预后越差。结论正确、及时地鉴别和处理视网膜血管瘤中的视网膜脱离与视网膜血管瘤的诊断、治疗和预后紧密相关。

The case retinal detachmet and the Von-Hippel

Objective Through review 13 cases of Von-Hippel disease to summarize the relationship between and retinal detachment. Methods 13 cases were reviewed, including one Von-Hippel Lindau case. Results 11 of 13 cases accompanyed with retinal edtachment, and the other two did not accompany with retinal detachment, and the other two did not accompany with retinal detachment, and the other two did not accmpany with retinal detachment. 11 of 12 patients accepting the treatment of argon laser coagulation were cured, whose retinal detachment was recovered, and retinal hemangiomas atrophied. Only one patient's retinal detachment was so severe that it needed additional cryotherapy. The longer the retinal detachment lasts and the closer is the detachment to macula retinae, the worse is the follow-up visual acuity. Conclusions The diagnosis, therapy and prognosis of Von-Hippel disease correlates closely with identifying and treating retinal deachment correctly as soon as possible.