伴玻璃体出血的无视网膜脱离视网膜裂孔的诊断和治疗  

Diagnosis and Treatment of Retinal Tears with Vitreous Hemorrhage and Without Retinal Detachment

作　　者：张月琴[1] 周华敏[1] 沈泽民[1] 

机构地区：[1]上海第二医科大学宝钢医院眼科,上海201900

出　　处：《上海第二医科大学学报》2005年第7期736-737,743,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的探讨伴玻璃体出血的无视网膜脱离视网膜裂孔的临床特征和治疗.方法对20例经532倍频激光光凝治疗伴玻璃体出血的无视网膜脱离视网膜裂孔病人的临床资料进行回顾性分析.结果 20例患者均为单眼突然发病,表现为飞蚊症、视物模糊或不见,无眼外伤史;充分扩瞳后广角镜检查见不同程度的玻璃体出血(Ⅰ～Ⅲ级),予以止血剂治疗.出血部分吸收能见及眼底时三面镜检查发现视网膜裂孔,采用532倍频激光光凝治疗,治疗后患者视力均有不同程度提高.结论对玻璃体出血尤其是出血量较少的患者应充分扩瞳仔细检查眼底,一旦发现裂孔应及时采用激光视网膜光凝封孔.ObjectiveTo explore the clinical character and laser treatment of retinal tears with vitreous hemo-(rrhage) without retinal detachment.MethodsTwenty patients,suffering from retinal tears with vitreous hemorrhage without retinal detachment were analyzed after laser treatment. After examining the patients with vitreous hemorrhage carefully, we performed the 532 times of frequency-doubled laser photocoagulation if they had retinal tears.Results(Breeding in) the 20 patients was cured after sealing the retinal tears, and visual acuity was raised.Conclusion(Fully mastering) the character of retinal tears with vitreous hemorrhage and without retinal detachment is helpful to find it early. Laser treatment in time is the key point for prognosis.

关 键 词：玻璃体出血 视网膜裂孔 激光 

分 类 号：R774.1[医药卫生—眼科] R776.4[医药卫生—临床医学]