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以闭合式全玻璃体切除术治疗50例非糖尿病性玻璃体积血。术前视力多为光感、手动和数指,仅1例0.1;眼底均窥不进。术后有37例视力恢复至0.1～1.5。根据手术前后的检查和术中所见,将本组病例分为两类:单纯型玻璃体积血,手术疗效较佳;视网膜脱离型,应联合常规视网膜复位术,疗效较差。手术总好转率为84％。强调对混浊玻璃体的全切除和术前对单纯型向视网膜脱离型发展的增殖性病变的判断,以减少术后并发症。
Fifty patients with non-diabetic vitreous hemorrhage underwent closed total vitrectomy. Preoperative visual acuity mostly light perception, manual and digital refers to only 1 case of 0.1; 37 cases of postoperative visual acuity recovered to 0.1 to 1.5. According to the preoperative and postoperative examination and intraoperative findings, the patients were divided into two categories: simple type of vitreous hemorrhage, surgery better; retinal detachment type, should be combined with conventional retinal reattachment, the curative effect is poor. The overall rate of improvement was 84%. Emphasis on the opacification of the vitreous total resection and preoperative simple retinal detachment type of development of the judgment of proliferative lesions in order to reduce postoperative complications.