Kita Yoshiyuki, Hitani Koichiro, Takeuchi Shinobu
Department of Ophthalmology, Toho University Ohashi Medical Center, Tokyo, Japan.
Nippon Ganka Gakkai Zasshi. 2006 May;110(5):410-4.
To assess the effect of vitrectomy with circumferential peripheral retinotomy on massive subretinal hemorrhage.
Eight patients (8 eyes) with massive subretinal hemorrhage of more than 2 quadrants, underwent pars plana vitrectomy between May 2000 and February 2004. The average age was 73.5 years. Seven patients (7 eyes) were male, and one was female (1 eye). An average of 207.5 degree circumferential peripheral retinotomy was carried out for removal of subretinal hemorrhage. The amount of postoperative subretinal hemorrhage, the improvement of visual acuity, and postoperative complications were evaluated.
Postoperatively, the volume of subretinal hemorrhage decreased in all cases. The visual acuity improved in 7 of the 8 eyes (87.5%). Postoperatively, none of the cases developed proliferative vitreoretinopathy, but subretinal hemorrhage recurred in 2 eyes.
Vitrectomy with circumferential peripheral retinotomy may reduce massive subretinal hemorrhage and increase visual acuity.
评估玻璃体切除术联合环形周边视网膜切开术对大量视网膜下出血的疗效。
2000年5月至2004年2月期间，8例（8只眼）视网膜下出血超过2个象限的患者接受了玻璃体切除术。平均年龄为73.5岁。男性7例（7只眼），女性1例（1只眼）。平均进行了207.5度的环形周边视网膜切开术以清除视网膜下出血。评估术后视网膜下出血的量、视力改善情况及术后并发症。
术后，所有病例视网膜下出血的量均减少。8只眼中7只眼（87.5%）的视力得到改善。术后，无一例发生增殖性玻璃体视网膜病变，但有2只眼视网膜下出血复发。
玻璃体切除术联合环形周边视网膜切开术可能减少大量视网膜下出血并提高视力。
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