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目的：评估玻璃体手术和眼内光凝治疗伴玻璃体积血、新生血管膜或牵拉性视网膜脱离的视网膜静脉阻塞（retinalveincoclusion，RVO）的疗效．方法：复习连续的37例RVO患者经玻璃体手术和眼内光凝治疗的38只眼临床资料．视网膜分支静脉只眼．结果：手术中确认27只眼有新生血管膜，23只眼有牵拉性视网膜脱离．手术后34只眼视力改善，占89．5％，其中22只眼有0．1以上的视力．4只眼视力未变．CRVO组病史较长，手术后视力改善较少．结论：玻璃体手术和眼内光凝能改善多数伴有玻璃体积血、新生血管膜和牵拉性视网膜脱离的RVO眼预后．
OBJECTIVE: To evaluate the efficacy of vitrectomy and intraocular photocoagulation in the treatment of retinal vein occlusion (RVO) with vitreous hemorrhage, neovascular or retinal detachment. Methods: The clinical data of 38 eyes treated with vitrectomy and intraocular photocoagulation in 37 consecutive RVO patients were reviewed. Retinal branch vein only. Results: In the operation, 27 eyes were confirmed as neovascular membrane and 23 eyes had traction retinal detachment. After surgery, 34 eyes improved visual acuity, accounting for 89.5%, of which 22 eyes had more than 0.1 eyesight. 4 eyes unchanged vision. CRVO group longer history, less improvement after surgery vision. CONCLUSION: Vitreous surgery and intraocular photocoagulation can improve the prognosis of most RVO eyes with vitreous hemorrhage, neovascular and retinal detachment.