23G玻璃体切除早期治疗Terson综合征  

Clinical assessment of 23G vitrectomy in early treatment of terson syndrome

作　　者：颜世龙[1] 田洁[2] 冯春霞[3] 

机构地区：[1]济南爱尔眼科医院,250010 [2]济南市第二人民医院 [3]济南市中区人民医院

出　　处：《中华眼外伤职业眼病杂志》2013年第5期370-371,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价23G微创玻璃体切除早期治疗Terson综合征的临床效果。方法回顾性总结Terson综合征8例（11眼）。术前视力光感～0．12，病程15—42d。11眼均采用23G微创玻璃体手术，术中根据视网膜情况，C3F8填充3眼，硅油填充1眼，平衡液（BSS）填充7眼。结果Terson综合征玻璃体积血表现为弥散性玻璃体积血、积聚于后极部视网膜前、部分视网膜下出血。随访时间36d～7个月。最终视力：0．1者1眼、0．12～0．3者4眼、〉0．3者6眼。随诊中未出现视网膜脱离或黄斑视网膜前膜等并发症。结论Terson综合征早期玻切治疗手术效果较好，能有效避免并发症。Objective To evaluate the clinical effect of 23G vitrectomy in early treatment of terson syndrome. Methods The data of eight cases （ 11 eyes） of terson syndrome were retrospectively analyzed in this study. Preoperative vision rangeed from light perception to 0.12, the course of disease was from 15 to 42 days. Eleven eyes were operated by 23G vitrectomy, and tempenated with C3F8 in three eyes, silicone oil in one eye, BSS in seven eyes according to condition of retina. Results Vitreous hemorrhage of terson syn- drome represented disperse hemorrhage, preretina hemorrhage, subretina hemorrhage. The followed-up time rangeed from 36 days to 7 months. The final visual acuity was 0. 1 in one eye, between 0.1 to 0.3 in 4 eyes, better than 0.3 in 6 eyes. Retinal detatchment and epimacular membrane weren＇ t found during the followed - up time. Conclusion There is a good prognosis in early treatment of terson syndrome by vitrec- tomy, which can avoid complications effectively.

关 键 词：玻璃体切除 TERSON综合征 

分 类 号：R779.6[医药卫生—眼科]