视网膜大动脉瘤破裂致黄斑部出血的治疗方法及效果
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陕西省卫生厅科技计划项目资助(No.2006K14-G6,2012K19-05-05)


Combined treatment of macular hemorrhage caused by rupture of retinal aneurysm
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Science and Technology Program of Health Department, Shaanxi Province(No.2006K14-G6,2012K19-05-05)

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    摘要:

    目的:分析视网膜大动脉瘤破裂致黄斑部出血的治疗方法及效果。

    方法:收集2012-01/2016-01在我院就诊的视网膜大动脉瘤破裂致黄斑部出血患者7例7眼,3眼出血位于视网膜前的患者,1眼观察,2眼给予532nm激光玻璃体后皮质切开引流术; 3眼出血位于视网膜内的患者,给予抗VEGF治疗; 1眼合并有视网膜前及视网膜内出血的患者,给予球内注气+激光玻璃体后皮质切开引流+抗VEGF治疗。

    结果:患者7例7眼视网膜前及视网膜内出血均吸收,视力得到不同程度改善。

    结论:针对视网膜大动脉瘤破裂致黄斑出血的治疗,应根据出血范围和位置选择相应的治疗方法,从而达到较好的预后。

    Abstract:

    AIM:To analyze the treatment of macular hemorrhage caused by rupture of retinal aortic aneurysm and its effect.

    METHODS:Totally 7 case(7 eyes)of macular hemorrhage caused by rupture of retinal aortic aneurysm in our hospital from January 2012 to January 2016 were collected. Three cases of hemorrhage were pre-retina, in which 1 eye was observed(without treatment)and 2 eyes were treated with 532nm laser vitreous cortex incision drainage. In 3 eyes with hemorrhage in the retinal, all were given anti- vascular endothelial growth factor(VEGF)treatment. In 1 eye with both pre-retinal and in the retinal hemorrhage, combined treatment was given as the intravitreal injection + laser vitreous cortex incision and drainage and anti-VEGF therapy.

    RESULTS: All 7 cases of pre-retinal and retinal hemorrhage were absorbed, visual acuity improved to varying degrees.

    CONCLUSION: The treatment of macular hemorrhage caused by rupture of retinal aortic aneurysm should be treated according to the scope and location of bleeding, so as to achieve better prognosis.

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胡笳,王建明,刘子瑶,等.视网膜大动脉瘤破裂致黄斑部出血的治疗方法及效果.国际眼科杂志, 2017,17(5):986-988.

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  • 收稿日期:2017-01-17
  • 最后修改日期:2017-04-06
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  • 在线发布日期: 2017-04-25
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