摘要
目的 探讨Terson综合征的治疗选择及预后.方法 对2006年1月至2012年12月间在武警北京总队第二医院眼科确诊并治疗的9例（18只眼）Terson综合征病例临床资料进行回顾分析,术前视力为光感至0.3,病程均＜6个月,年龄23 ～69岁.所有患眼均进行了玻璃体切割手术.结果 所有Terson综合征患者通过手术清除玻璃体积血,术后视力均有不同程度的提高,其中10只眼术后视力达0.5及以上,病程较长或合并视网膜脱离者术后视力恢复欠佳.结论 玻璃体切割手术可以有效治疗Terson综合征患者发生的玻璃体积血,对于较长时间玻璃体腔内积血未能吸收和（或）合并视网膜脱离的患者应积极手术治疗.
Objective To discuss therapeutic options and prognosis in 9 cases with Terson syndrome.Methods Nine cases （18 eyes） with Terson syndrome from January 2006 to December 2012 were analyzed retrospectively.The preoperative visual acuity was LP to 0.3.The courses of disease were 1 month to 6 months.The ages of the patients ranged from 23 to 69 years.Vitrectomy was performed in all the cases.Results In all the cases visual acuity （VA） improved after removal of the vitreous hemorrhage （VH） caused by Terson syndrome.Postoperative VA was 0.5 in 14 of 35 eyes.Poor visual outcomes were mainly caused by retinal detachments and long course.Conclusions Vitrectomy for vitreous hemorrhage in Terson syndrome is a safe and effective procedure.An early vitrectomy is recommended for eyes with retinal detachment,without spontaneous blood absorption.
出处
《中国实用眼科杂志》
CSCD
北大核心
2014年第6期764-766,共3页
Chinese Journal of Practical Ophthalmology
