Ultra Q:YAG激光治疗黄斑部视网膜前出血17例并文献复习  

Ultra Q:YAG laser treatment for macular retinal pre-retinal hemorrhage in 17 cases and literature review

作　　者：肖哲 张胜娟 赵子琦 兴辰 李成泉 刘志强 XIAO Zhe;ZHANG Shengjuan;ZHAO Ziqi;XING Chen;LI Chengquan;LIU Zhiqiang(Department of fundus imaging and laser therapy,Hebei Eye Hospital,Xingtai 054001,Hebei,China)

机构地区：[1]河北省眼科医院眼底影像检查与激光治疗科,河北邢台054001

出　　处：《山东大学耳鼻喉眼学报》2025年第1期130-135,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：邢台市重点研发计划项目(2023ZC186)。

摘　　要：目的探讨与分析Ultra Q:YAG激光膜切开引流术治疗黄斑部视网膜前出血的疗效。方法回顾性分析17例(17眼)黄斑部视网膜前出血患者,均行Ultra Q:YAG激光膜切开引流术进行治疗,对患者术后随访1个月,观察术后玻璃体腔出血吸收、视力改善、并发症发生情况并分析失败原因。结果12眼(70.6%)治疗成功,出血均基本吸收,视力均得到明显改善。治疗失败5眼中其中2眼病程超过30 d,2眼出血形态呈不规则多边形,1眼激光膜切开术后1个月玻璃体积血吸收不佳并行玻璃体切割术。结论Ultra Q:YAG激光治疗黄斑部视网膜前出血有效安全可行。黄斑部视网膜前出血应尽早行Ultra Q:YAG激光治疗以期达到好的治疗效果。Objective To examine the effectiveness of Ultra Q:YAG laser membranotomy in treating preretinal hemorrhage in the macula.Methods This retrospective study analyzed 17 patients(17 eyes)treated for preretinal hemorrhage in the macula with Ultra Q:YAG laser membranotomy.Patients were followed up one month postoperatively to observe vitreous hemorrhage absorption,visual improvement,complication occurrence,and to identify reasons for unsuccessful outcomes.Results Treatment was successful in 12 out of 17 eyes(70.6%),with complete absorption of hemorrhage and notable visual improvement.Among the five unsuccessful cases,two had a disease duration of over 30 days,two exhibited irregularly shaped hemorrhages,and one showed poor absorption of vitreous hemorrhage one month post-membranotomy,necessitating vitrectomy.Conclusion Ultra Q:YAG laser treatment for preretinal hemorrhage in the macula is proven to be effective,safe,and feasible.Early intervention with Ultra Q:YAG laser is recommended to optimize treatment outcomes.

关 键 词：ULTRA Q:YAG激光 黄斑 视网膜前出血 膜切开术 玻璃体切除术 

分 类 号：R774.5[医药卫生—眼科]