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[视网膜下新生血管膜和出血的玻璃体手术]

[Vitreous surgery for subretinal neovascular membrane and hemorrhage].

作者信息

Lü L, Gao R, Wu L

机构信息

Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.

出版信息

Zhonghua Yan Ke Za Zhi. 1996 Jul;32(4):277-81.

PMID:9590844
Abstract

OBJECTIVE

To study the indications, techniques and therapeutic effects of vitreous surgery for subretinal neovascular membranes.

METHODS

6 cases of subretinal neovascularization and subretinal hemorrhage were treated by vitreoretinal surgery. The surgical techniques consisted of three port pars plana vitrectomy, intraocular laser, retinotomy, subretinal neovascular membrane resection or hemorrhage removal, air-fluid exchange, etc. The pre and post-operative examinations included fundus fluorescein angiography (FFA), Humphry visual field to evaluate the therapeutic effects of the surgery.

RESULTS

The postoperative follow-up ranged from 4 to 7 months. The visual acuities of 4 cases improved, 0.3 or over in 2 cases and unchanged in 2 cases.

CONCLUSION

Subretinal operation may be a safe and effective method to treat subretinal neovascularization if the indication was well mastered.

摘要

目的

探讨视网膜下新生血管膜玻璃体手术的适应证、手术技巧及治疗效果。

方法

对6例视网膜下新生血管形成并伴有视网膜下出血的患者行玻璃体视网膜手术。手术技巧包括三通道扁平部玻璃体切除术、眼内激光、视网膜切开术、视网膜下新生血管膜切除术或出血清除术、气液交换等。术前及术后检查包括眼底荧光血管造影(FFA)、Humphry视野检查以评估手术治疗效果。

结果

术后随访4~7个月。4例视力提高,其中2例提高到0.3及以上,2例视力无变化。

结论

如果掌握好适应证,视网膜下手术可能是治疗视网膜下新生血管形成的一种安全有效的方法。

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