摘要
目的观察25G经结膜无缝合玻璃体切割系统(TSV25G)在糖网病性玻璃体积血手术治疗中的应用价值。方法回顾分析应用TSV25G治疗14例糖网病性玻璃体积血患者的临床资料。结果14例患者除1例外,余13例均顺利完成手术,术后随访视力增加0.5以上者7例(53.9%)。结论TSV25G应用于早期糖网病性玻璃体积血,手术安全,省时,效果好,更有利于糖网病光凝术后玻璃体积血的再次治疗。
Objective To evaluate the 25-gauge(25G) transconjunctival sutureless vitrectomy system (TSV25G) for vitreous hemorrhage of diabetic retinalpathy(DRP).Methods The clinical data of 14 patients with vitreous hemorrhage of diabetic retinalpathy treated by the TSV25G were retrospectively analyzed,included 5 men and 9 women,aged from 42～64.The postoperative follow-up period was 1～8 months.the selective standard of patient:1.DRP Ⅳ or better,non-proliferative lesion in retinal surface severely;2.Simple vitreous hemorrhage and non-retinal detachment in B-type ultrasound examination;3.recurrent bleeding in vitreous,non-absorbed in 1 month;4 part of fundus can be observed faintly;5.7 patients had the history of retinal laser photocoagulation.Results One patient with severe proliferative membrane in retinal surface had udnergone tranditional vetrctomy after cleared the vitreous hemorrhage.,the others had undergone the TSV25G successfully Expanded supertemporal sclera incision for laser photocoagulation in 4 patients.The cause of a lot of retinal bleeding included severe traction of retinal-vitrous surface in 10 patients existed bleeding spot clearly,3 patients did not existed bleeding spot clearly.The visual acuities were increased in all patients after surgery,0.5 or better in 7 paternts(53.9%).Conclusions TSV25G was safe,time saving,and effective for early simple hemorrhage of DRP,especially for recurrent bleeding after DRP surgery and retinal laser photocoagulation.
出处
《中国实用眼科杂志》
CSCD
北大核心
2005年第6期579-580,共2页
Chinese Journal of Practical Ophthalmology
