玻璃体切除联合巩膜切开引流术治疗驱逐性脉络膜上腔出血的疗效  

Treatment of massive suprachoroidal hemorrhage with radial sclerotomies combined with vitrectomy

作　　者：柯根杰[1] 朱子诚[1] 王林[1] 孙冰[1] 潘红飚[1] 

机构地区：[1]安徽省立医院眼科,合肥230001

出　　处：《实用防盲技术》2010年第2期51-53,共3页Journal of Practical Preventing Blind

摘　　要：目的探讨应用玻璃体显微手术联合巩膜切开引流术作为Ⅱ期手术方式治疗脉络膜上腔出血的疗效。方法回顾分析2004年3月-2008年9月我院收治的驱逐性脉络膜上腔出血患者11例,常规行检眼镜,眼B超检查确诊,记录视力和病因。所有病例均于出血后2周左右采用玻璃体切除联合巩膜切开引流术。结果11例均成功引流脉络膜上腔积血,视网膜复位,随访6-18个月,视力均有改善。结论及时关闭切口,控制眼压,适时选择手术,行玻璃体切除联合巩膜切开引流术是二期处理驱逐性脉络膜上腔出血的最有效方法。Objective To present the results of secondary surgical treatment of eleven patients with expulsive suprachoroidal hemorrhage （ESCH）. Methods Eleven patients presenting with ESCH were included in this study. Diagnosis was confirmed by ophthalmoscopy and B-scan ultrasonography. Pre-existing risk factors and distance visual acuity were documented. All cases received medical therapy and underwent secondary surgical intervention with radial sclerotomies combined with vitrectomy, use of perfluorocarbon, and silicone oil. Results In all cases, anatomic restoration of retina was achieved. Distance visual acuity improved in all cases .The follow-up period was 6-18 months.. Conclusion In general, despite the advanced surgical techniques, the prognosis of ESCH remains guarded and the visual outcome poor. However, secondary surgical treatment with combined radial sclerotomies and vitrectomy should be considered in order to minimize the damaging effect and maximize the anatomic and functional restoration.

关 键 词：驱逐性脉络膜上腔出血 玻璃体切除术 巩膜切开术 

分 类 号：R779.6[医药卫生—眼科]