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糖尿病性黄斑前致密出血。即时玻璃体切除术的一个可能指征。

Diabetic dense premacular hemorrhage. A possible indication for prompt vitrectomy.

作者信息

O'Hanley G P, Canny C L

出版信息

Ophthalmology. 1985 Apr;92(4):507-11. doi: 10.1016/s0161-6420(85)34014-9.

DOI:10.1016/s0161-6420(85)34014-9
PMID:2582330
Abstract

A review was undertaken of nine eyes of nine patients who suffered tightly bound dense premacular hemorrhage as a complication of proliferative diabetic retinopathy. Patients who did not receive vitrectomy within four weeks of the onset of the hemorrhage all progressed to late macular traction and visual acuity no better than 6/30. Of the five patients who received vitrectomy within four weeks of the onset of the hemorrhage, none developed significant late macular traction and all achieved visual acuity of 6/12 or better. It is possible that the tightly bound dense premacular hemorrhage represents an indication for vitrectomy within one month of its onset.

摘要

对9例因增殖性糖尿病视网膜病变并发症而出现紧密包裹的黄斑前致密出血的患者的9只眼睛进行了回顾性研究。在出血发生后四周内未接受玻璃体切除术的患者均进展为晚期黄斑牵引,视力不超过6/30。在出血发生后四周内接受玻璃体切除术的5例患者中,无一例出现明显的晚期黄斑牵引,且所有患者的视力均达到6/12或更好。紧密包裹的黄斑前致密出血可能表明在其发生后一个月内进行玻璃体切除术是有必要的。

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