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视网膜静脉血栓继发玻璃体出血19眼(16例)及Terson综合征(脑血管破裂致蛛网膜下出血合并玻璃体出血-编者注)3眼(2例)行睫状体平部玻璃体切除术,结果如下: (1)手术效果:视网膜血栓19眼中16眼(84%),Terson综合征3眼中3眼(100%)手术成功。 (2)术后视力:0.1以下5眼,0.1～0.37眼,0.4～0.6 2眼,0.7以上5眼。 (3)与其他眼病比较:此报告的病例成功率高,是视乳头和玻璃体基底部粘连引起残留的玻璃体剥离病例多所致。 (4)玻璃体混浊至手术间隔时间是6个月～10年,术后视力与间隔时间无明显关系。 (5)视力恢复:主要由原发视网膜病变的程度而定,因此Terson综合征病例术后视力较好。
Nineteen eyes of vitreous hemorrhage with retinal vein thrombosis (16 eyes) and 3 eyes (2 eyes) with pars plana vitrectomy underwent Terson’s syndrome. Results As follows: (1) Surgical effect: 16 eyes (84%) of 19 eyes of retinal thrombus and 3 eyes (100%) of 3 eyes of Terson syndrome were operated successfully. (2) postoperative visual acuity: 0.1 following 5 eyes, 0.1 ~ 0.37 eyes, 0.4 ~ 0.6 2 eyes, 0.7 more than 5 eyes. (3) Compared with other eye diseases: The high case success rate in this report is caused by the residual vitreous detachment caused by the adhesion of the optic nerve and the basal body of the vitreous. (4) vitreous opacity to surgery interval is 6 months to 10 years, postoperative visual acuity and interval time no significant relationship. (5) visual acuity: mainly due to the degree of primary retinopathy, so Terson syndrome cases of visual acuity better.