摘要
目的:分析玻璃体切除联合倍频Nd:YAG 532nm激光治疗视网膜血管炎的临床效果。方法:回顾性分析36例36眼玻璃体切除联合倍频Nd:YAG 532nm激光治疗视网膜血管炎的临床资料。结果:视网膜血管炎36例中以视网膜动脉炎为主者2例,炎症侵犯视网膜静脉为主者4例,炎症同时波及动静脉者30例;术中并发症:1例发生晶状体损伤混浊,医源性视网膜裂孔6例;锯齿缘截离3例。术后并发症:视网膜再脱离2例,发生前房积血2例,发生高眼压9例;36例术后最佳视力较术前均有明显改善,其中0.02~0.1者2例(6%),0.12~0.4者22例(61%),0.5~1.0者12例(33%)。结论:玻璃体切除联合倍频Nd:YAG 532nm激光是治疗视网膜血管炎的有效方法。
~AIM:To report the effects of the vitrectomy combined with Nd:YAG 532nm laser on treatment of retinal vasculitis.~METHODS:Data of 36 cases(36 eyes)with retinal vasculitis undergoing vitrectomy and Nd:YAG 532nm laser treatment were analyzed retrospectively.RESULTS:Two cases were retinal arteritis,4 cases were retinal phlebitis and 30 cases'damnification were on both artery and vein of retina in 36 cases.The damnification of lens was in 1 case,iatrogenic retinal hole was in 6 cases and dialysis of ora serrata was in 3 cases in operation.2 cases were of retina detachment again,2 cases of hyphema and 9 cases of ocular hypertension after operation.The best visual acuity of 36 cases were improved,which was 0.02 to 0.1 in 2 cases(6%),0.12 to 0.4 in 22 cases(61%)and 0.5 to 1.0 in 12 cases(33%).CONCLUSION:Vitrectomy combined with Nd:YAG 532nm laser is an effective treatment for retinal vasculitis.
作者
李恒
米雪
Heng Li;Xue Mi(Department of Ophthalmology,Suining Province,China Endoscopy Center,629000,Sichuan;Digestive Central Hospital of Suining,Suining Province,China Endoscopy Center,629000,Sichuan)
出处
《国际眼科杂志》
CAS
2012年第4期706-707,共2页
International Eye Science
