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目的探讨玻璃体切割联合180°视网膜切开术治疗严重视网膜下出血的临床效果。方法回顾分析2003年3月到2005年1月连续行玻璃体切割联合180°视网膜切开术治疗的7例7只眼严重视网膜下出血病例的临床资料。结果术后6只眼视力提高。其中出血时间短于4周的4只眼视力提高明显。2只眼术中发生后极部视网膜裂孔,4只眼术中有脉络膜出血。结论早期行玻璃体切割联合视网膜切开术清除视网膜下大量积血能够挽救部分视功能。
Objective To investigate the clinical effect of vitrectomy combined with 180 ° retinal incision in the treatment of severe subretinal hemorrhage. Methods The clinical data of 7 patients with severe subretinal hemorrhage in 7 eyes treated with vitrectomy combined with 180 ° retinal incision from March 2003 to January 2005 were reviewed retrospectively. Results After 6 eyes visual acuity improved. Among them, the visual acuity of 4 eyes whose bleeding time was shorter than 4 weeks increased obviously. Posterior pole retinal tears occurred in 2 eyes and choroidal hemorrhage in 4 eyes. Conclusion Early vitrectomy combined with retinal detachment to remove a large amount of blood under the retina can save part of the visual function.