摘要
目的 :探讨增殖性糖尿病视网膜病变 (proliferativediabeticretinopathy ,PDR)玻璃体视网膜手术后严重玻璃体出血的原因、并发症及处理方法。方法 :对我院 1997年 1月至 2 0 0 1年 3月住院行玻璃体视网膜手术治疗PDR的 182例 (198只眼 )患者中术后发生严重玻璃体出血的 16例 (17只眼 )患者进行回顾性分析。结果 :术后玻璃体出血中 5 2 9%出现于术后第一天 ,出血原因包括纤维血管膜残端出血、视网膜新生血管膜渗血、视网膜切开、视网膜裂孔、前玻璃体纤维血管增殖等 ;出血并发症包括继发性青光眼、增殖膜形成等。结论 :PDR玻璃体切割术后玻璃体出血为术后常见的并发症 ;对于出血量大、难于吸收及出现并发症的病例 。
Objective:To investigate causes,complication and treatment of severe vitreous hemorrhage in eyes with proliferative diabetic retinopathy(PDR)after vitrectomy.Methods:From Jan.1997 to Mar.2001,there were 182 patients(198 eyes)with proliferative diabetic retinopathy(PDR)operated with vitreoretinal surgery.Of these 182 patients,there were 16 patients(17 eyes)had severe postoperative vitreous hemorrhage.The histories of these 17 eyes were analyzed retrospectively.Results:Of the 17 eyes,persistent postvi trectomy diabetic vitreous hemorrhage occurred in 9 eyes(52 9%).The causes of vitreous hemorrhage were hemorrhage from residual fibrous vascular membrane,chronic errhysis from neovessels elsewhere(NVE),retinotomy,retinal hole,anterior hyaloidal fibrovascular proliferation etc.Complications of hemorrhage were secondary glaucoma,formation of proliferative membrane etc.Conclusion:Vitreous hemorrhage is a common complication occurring after vitrectomy for PDR.Active treatment for severe vitreous hemorrhage and its complication may be helpful to improve the visual prognosis.
出处
《眼科》
CAS
2002年第2期87-89,共3页
Ophthalmology in China
