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分析2005年3月～2009年2月被我院确诊为DR所致玻璃体出血并行玻璃体切割术治疗的患者616例,785眼。依据玻璃体出血距手术治疗的时间分为1月组、2月组、3月组、大于3月组,手术采用标准20G玻璃体切割术,术后随访9月～36月,观察术后最佳矫正视力和手术并发症发生情况。结果:术后最佳矫正视力及并发症发生的眼数:1月组0.5±0.22、7只眼,2月组0.5±0.13、21只眼,3月组0.37±0.18、62只眼,大于3月组0.29±0.16、117只眼。结论:DR引起的玻璃体出血,术后最佳矫正视力随出血距手术时间的延长而呈现下降趋势,手术并发症呈上升趋势。
Analysis of March 2005 ~ February 2009 by our hospital diagnosed as DR-induced vitreous hemorrhage in parallel with vitrectomy in patients with 616 cases, 785 eyes. According to the time of vitreous hemorrhage from surgical treatment were divided into January group, February group, March group, more than March group, the standard 20G vitrectomy surgery, followed up for 9 months to 36 months, postoperative best correction Visual acuity and surgical complications. Results: The best corrected visual acuity and the number of complications after operation were 0.5 ± 0.22 in 7 months, 7 eyes in January group, 0.5 ± 0.13 eyes in February group and 0.37 ± 0.18 eyes in March group, March group 0.29 ± 0.16,117 eyes. Conclusions: The vitreous hemorrhage caused by DR and the best corrected visual acuity after operation are decreasing with the prolongation of operation time. The complications of operation are on the rise.