视网膜脱离复位术并发大量视网膜下及玻璃体积血手术治疗  

Surgical treatment of massive subretinal and vitreous hemorrhage after retinal detachment buckling surgery

作　　者：吕林[1] 姜利斌[1] 李永浩[1] 

机构地区：[1]中山医科大学中山眼科中心,510060

出　　处：《中国实用眼科杂志》2001年第10期753-755,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :探讨巩膜外扣带术 (scleral buckling procedures,SBP)并发大量视网膜下及玻璃体积血 (subretinal and vitreoushemorrhage)手术治疗方法及疗效。方法 :回顾性分析 SBP并发视网膜下及玻璃体积血 7例患者 7只患眼 ,出血后 2～ 8周经睫状体扁平部巩膜三切口玻璃体切除 ,剥离玻璃体后皮质 ,视网膜切开及清除视网膜下积血 ,硅油或气体填充等手术治疗后 ,随访时间 4～ 12月 (平均 6个月 )的临床资料。结果 :3只患眼 (42 .9% )术后发生视网膜前纤维增殖 ,经过了二次增殖膜剥离手术治疗。最后随诊 7只患眼视网膜均得到良好复位 ;视力≥ 0 .1者 6只眼 ,占 85 .7% ,最好矫正视力为 0 .4。结论 :玻璃体视网膜手术能有效清除 SBP并发大量视网膜下及玻璃体积血 。Objective: To investigate the methods and effects of the surgical treatment for massive subretinal and vitreous hemorrhage complicated with scleral buckling procedures (SBP). Methods: It was a retrospective study on 7 patients underwent a complete pars plana vitrectomy for massive subretinal and vitreous hemorrhage after SBP. Retinotomy was carried out for removing subretinal hemorrhage. Silicone oil or gas tamponade were performed in all cases. Follow-up was for 3 to 12 months (mean 6 months). Results: Improvement of corrected final visual acuity and anatomical retinal reattachment were achieved in all cases within the follow-up period. 6 eyes (85.7%) had a visual acuity of ≥0.1 and the best visual acuity was 0.4. However, 3 patients (42.9%) underwent secondary vitreous surgery, due to the recurrence of proliferative vitreoretinopathy (PVR). Conclusions: Surgical intervention should be applied in the eyes with massive subretinal and vitreous hemorrhage from complications of SBP, however. PVR always recur due to incomplete removal of the subretinal blood.

关 键 词：视网膜脱离 治疗 玻璃体出血 外科手术 眼出血 

分 类 号：R774.13[医药卫生—眼科] R776.4[医药卫生—临床医学]