论文部分内容阅读
目的观察玻璃体手术治疗伴有玻璃体积血的Terson综合征的术中情况及效果。方法回顾性分析接受玻璃体手术的伴有玻璃体积血的Terson综合征9例(16眼)的临床资料。所有患眼均行玻璃体切除手术,6眼联合C3F8惰性气体填充,对于同时伴有视网膜前膜者,术中加用吲哚氰绿染色,将视网膜前膜剥除。手术后随访2～24个月,平均18个月。结果术中发现不完全性玻璃体后脱离者10眼(62.50%),视网膜前膜形成者5眼(31.25%),同时合并有视网膜下出血者3眼(18.75%),视神经萎缩者1眼(6.25%)。术后视力≥0.5者8眼(50.00%),0.3～0.4者4眼(25.00%),0.02～0.2者4眼(25.00%)。术后随访观察期间,均未发现视网膜脱离。1眼术后3个月出现继发性黄斑前膜,2眼术后出现并发性白内障。结论玻璃体手术治疗Terson综合征具有很好的临床效果,能明显改善视力,减少并发症的发生,提高患者生活质量。
Objective To observe the intraoperative situation and the effect of vitrectomy on vitreous hemorrhage with Terson’s syndrome. Methods The clinical data of 9 cases (16 eyes) with vitreous hemorrhage and vitreous hemorrhage underwent vitrectomy were analyzed retrospectively. All eyes underwent vitrectomy, and 6 eyes were filled with C3F8 inert gas. For the patients with pre-retinal membrane, indocyanine green staining was applied intraoperatively to strip the anterior retinal membrane. Follow-up after surgery for 2 to 24 months, an average of 18 months. Results There were 10 eyes (62.50%) with incomplete posterior vitreous detachment, 5 eyes (31.25%) with pre-retinal membrane formation, 3 eyes (18.75%) with retinal hemorrhage and 1 optic atrophy 6.25%). Postoperative visual acuity ≥ 0.5 in 8 eyes (50.00%), 0.3 ~ 0.4 in 4 eyes (25.00%), 0.02 ~ 0.2 in 4 eyes (25.00%). During follow-up observation, no retinal detachment was found. One case showed secondary macular anterior membrane at 3 months postoperatively and 2 cases had complicated cataract after operation. Conclusion Vitreous surgery for Terson syndrome has a good clinical effect, can significantly improve visual acuity, reduce the incidence of complications, improve patient quality of life.