【摘要】 目的 :评价玻璃体切割术治疗视网膜静脉周围炎伴玻璃体出血的疗效。方法 :回顾性分析我院自 1999年 3月至2 0 0 2年 9月经玻璃体切割术治疗的视网膜静脉周围炎伴玻璃体出血患者 13例 18只眼的临床资料。结果 :随访期为 7个月～ 4年 ,平均 2 3个月。 18只眼视网膜均在位 ,16只眼 (88 9% )视力较术前有不同程度的提高 ,其中视力≥ 0 3者 11只眼(71% ) ,最好视力为 1 0。术后玻璃体再出血 2例 ,经药物治疗后出血吸收。无新生血管性青光眼发生。结论 :玻璃体切割术是治疗视网膜静脉周围炎伴玻璃体出血的有效方法 ,可明显改善患者视力 ;结合术中及术后激光光凝治疗 ,可有效预防玻璃体再出血及新生血管性青光眼等并发症的发生更多还原

【Abstract】 Objective:To evaluate the therapeutic effects of vitrectomy for Eales’disease with vitreous hemorrhage.Methods:The deta of 13 patients(18 eyes) of Eales’disease with vitreous hemorrhage who underwent vitrectomy from March,1999 to September,2002 were studied retrospectively.Results:The follow-up period was 1 year to 4 years(average,23 months).At the final examinations,the retinas were all attached,with improved visual acuity in 16 eyes(88.9%)of which 11 eyes(71%)reached 0.3 or better,the best visual acuity was 1.0.Recurrent vitreous hemorrhage occurred in only 2 eyes,and absorbed after drug therapy.No neovascular glaucoma occurred.Conclusion:Vitrectomy is an effective method for Eales’disease with vitreous hemorrhage.It can improve the visual acuity markedly.Combined with photocoagulation,it can also effectively prevent the recurrent vitreous hemorrhage and other complications.更多还原