伴有玻璃体积血的糖尿病性视网膜病变的手术治疗  

Study of the operation of vitreous hemorrhage in diabetic rednopathy

作　　者：孙冰[1] 柯根杰[1] 潘红飚[1] 

机构地区：[1]安徽省立医院眼科,合肥230001

出　　处：《临床眼科杂志》2006年第2期129-131,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨伴有玻璃体积血的糖尿病性视网膜病变的手术治疗及其预后。方法 41例(47只眼) 伴有玻璃体积血的糖尿病性视网膜病变,均行闭合式玻璃体切割及视网膜光凝,术中根据情况行剥膜、切膜、过氟萘烷液体复位、电凝、巩膜外冷凝、填压、环扎及硅油填充。术后观察视力、眼压、眼底,并随访12～24月。结果 42只眼术后视力提高,3只眼视力不变,2只眼视力下降,47只眼眼压均低于3．192kPa,视网膜平复。术中主要并发症为出血和医源性裂孔。随访中17只眼硅油填充于6-12月行硅油取出,2只眼发生白内障行白内障超声乳化吸除,1只眼新生血管性青光眼行眼球摘除。结论玻璃体视网膜手术是治疗伴有玻璃体积血的糖尿病性视网膜病变的有效方式。掌握恰当的手术时机对预后至关重要。Objective To explore the operation and prognosis of the operation of vitreous hemorrhage in diabetic retinopathy. Methods Vitrectomy and intraocular Ar^＋ laser coagulation were performed in 41 cases （47eyes） of vitreous hemorrhage in diabetic retinopathy, stripping and cutting of membrane, liquid perlluorodecalin, electric coagulation, condense, cerclage and silicon oil were carried out. Visual acuity（ VA）, intraocular pression（IOP） and fundus were observed after sugery and followed up for 12 -24 months. Results After operation, VA of 42 eyes was improved, 3 eyes was same, 2 eyes was decreased. IOP of 47 eyes was all below 3. 192Kpa. No detachment of retina was observed. The main complications in the operation were bleeding and iatrogenic holes of retina. Conclusions Vitreoretina operation is valid treatment for vitreous hemorrhage in diabetic retinopathy. It is important for prognosis to choose the correct opportunity.

关 键 词：玻璃体积血 糖尿病性视网膜病变 玻璃体视网膜手术 视力 预后 

分 类 号：R779.6[医药卫生—眼科]