伴有玻璃体积血的孔源性视网膜脱离玻璃体切割手术治疗

目的 分析玻璃体切割手术治疗伴有玻璃体积血的孔源性视网膜脱离的疗效. 方法 对2004年7月-2008年7月在我院行玻璃体切割手术治疗的22例伴有玻璃体积血的孔源性视网膜脱离的患者进行回顾性分析. 结果 所有的患者术后网膜均复位,术后2个月视力均较术前明显提高.最佳视力0.05～0.1者4例(18.2 %),0.12～0.5者10例(45.5%),大于0.5者8例(33.3%). 结论 玻璃体切割手术可以及时治疗伴有玻璃体积血的孔源性视网膜脱离,减轻PVR,完全清除眼内积血,封闭所有视网膜裂孔,复位视网膜,尽早恢复患者的视功能,是安全有效的手术方式.

Vitrectom for vitreous hemorrhage associated with rhegmatogenous retinal detachment.

Objective : To analyse the therapeutic effects of vitrectomy surgery for vitreous hemorrhage associated with rhegmatogenous retinal detachment. Methods: A retrospective survey was done in 22 patients(22 eyes)with vitreous hemorrhage associated with rhegmatogenous retinal detachment who underwent vitrectomy surgery. They were followed up for 3 to 12 month. Results: 22 eyes were treated with a pars plana vitrectomy month. The best visual acuity 0.05-0.1 in 4 cases(18.2%); 0.12-0.5 in 10 cases(45.5%); ＞0.5in8cases(33.3%). Conclusion: Vitrectomy may be timely treatment of vitreous hemorrhage associated with rhegmatogenous retinal detachment, reduce PVR, complete removal of intraocular hemorrhage, retinal breaks all closed, reattached the retina, as soon as possible to restore visual function in patients is an effective surgery.