视网膜静脉阻塞36例临床分析

目的： 探讨视网膜静脉阻塞（RVO）患者在病程不同时期采取的主要治疗方法及临床疗效.方法：对36例（38眼）RVO患者的临床资料进行回顾性分析.38眼中视网膜中央静脉阻塞（CRVO）10眼,经药物治疗7眼,激光治疗3眼;视网膜分支静脉阻塞（BRVO）27眼,经药物治疗13眼,激光治疗8眼,手术治疗6眼;视网膜黄斑分支静脉阻塞（MBRVO）1眼,采用药物治疗,分析不同治疗方法的治疗效果.结果：单纯药物治疗21眼,有效13眼（61.9%）;激光治疗11眼,有效8眼（72.7%）;行玻璃体切割加眼内光凝术6眼,总有效率为100%.结论：RVO应定期随访观察,在病程中的不同时期,需分别采取以药物、激光光凝、手术为主的治疗方式.

Analysis on treatment of 36 patients with retinal vein occlusion

Objective: To analysis the main methods and effects of treatment in a series of patients with retinal vein occlusion(RVO).Methods: Clinical records were reviewed to analysis the main methods and effects of treatment on 36 patients with retinal vein occlusion between June,2002 and January,2004.In 38 eyes,10 eyes were central retinal vein occlusion(CRVO),27 eyes were branch retinal vein occlusion(BRVO) and 1 eye was macular branch retinal vein occlusion(MBRVO).Seven eyes of CRVO were under drug therapy,3 eyes under laser photocoagulation;13 eyes of BRVO were under drug therapy,8 eyes under laser photocoagulation,6 eyes underwent vitrectomy and endolaser;1 eye of MBRVO was under drug therapy.Results: Twenty-one eyes of recent onset RVO were underwent drug therapy,and had 61.9% of therapy efficiency rate;11 eyes were underwent laser photocoagulation,and had 72.7% of therapy efficiency rate;6 eyes were underwent vitrectomy and endolaser,and had 100% of therapy efficiency rate.Conclusions: RVO has an expatiatory course of disease that shoud have periodic checkup.Different treatments including drug therapy,laser photocoagulation,vitrectomy should be applied in the different course of the disease.