视网膜大动脉瘤破裂致黄斑部出血的治疗方法及效果

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....

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Published in国际眼科杂志 Vol. 17; no. 5; pp. 986 - 988
Main Authors 胡笳, 王建明, 刘子瑶, 冯海晓, 郑玉萍, 王峰
Format Journal Article
LanguageChinese
Published 西安交通大学第二附属医院眼科, 中国陕西省西安市,710004 2017
Subjects
黄斑出血
macular hemorrhage
retinal artery aneurysm
视网膜大动脉瘤
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Abstract 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.
AbstractList 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_FL 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.
Author 刘子瑶
胡笳
王建明
冯海晓
郑玉萍
王峰
AuthorAffiliation 西安交通大学第二附属医院眼科, 中国陕西省西安市,710004
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Author_FL Jia Hu
Feng Wang
Zi-Yao Liu
Hai-Xiao Feng
Jian-Ming Wang
Yu-Ping Zheng
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Keywords 黄斑出血
macular hemorrhage
retinal artery aneurysm
视网膜大动脉瘤
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