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目的 应用眼底血管造影结果及视力判定单纯光凝及玻切加眼内光凝治疗特发性视网膜血管炎 (Eales病 )的疗效。方法 回顾性分析单纯光凝 67眼及 3 1眼玻切加光凝者治疗前后眼底荧光血管造影及视力的变化。结果 光凝组无灌注区消退3 1眼 ( 5 5 4% )、改善 17眼 ( 3 0 4% )、不变 4眼 ( 7 1% )、恶化 4眼 ( 7 1% ) ;新生血管消退 3 0眼 ( 5 0 8% )、改善 19眼 ( 3 2 2 % )、不变 6眼( 10 2 % )、恶化 4眼 ( 6 8% )。术后第一次造影 ,光凝组 2 5眼存在无灌注 ,玻切组仅 2眼 ;光凝组 2 9眼存在新生血管 ,玻切组为 3眼。手术前、后最佳矫正视力≥ 0 3者光凝组分别为 3 0眼、47眼 ,玻切组为 0眼和 5眼 ;≥ 0 0 5者光凝组分别为 5 4眼、60眼 ,玻切组为11眼、2 0眼。结论 玻切后眼底造影情况较好与眼内光凝较充分有关 ,玻切后残眼数多与大量积血或网脱对黄斑部的损伤以及玻切手术对黄斑部损害有关。故对Eales病患者应早期行眼底造影检查 ,一旦发现有激光治疗指征 ,应尽早治疗 ;治疗后应复查造影、补充治疗 ,以免治疗不彻底造成玻璃体的反复大量出血对视功能的损伤
Objective To evaluate the efficacy of fundus angiography and visual acuity in the treatment of idiopathic retinal vasculitis (Eales disease) by simple photocoagulation and vitrectomy. Methods The changes of fundus fluorescein angiography and visual acuity before and after the treatment of simple photocoagulation with 67 eyes and 31 eyes with vitrectomy were retrospectively analyzed. Results In the photocoagulation group, 31 eyes (554%) showed no signs of reperfused area, 17 eyes (34%) showed no improvement, 4 eyes (71%) showed no change and 4 eyes (7 1% There were 30 eyes (58.0%), 19 eyes (32.2%), 6 eyes (102%), 4 eyes (68%). In the first postoperative angiography, there was no perfusion in 25 eyes of the photocoagulation group and only 2 eyes in the vitrectomy group. There were 29 neovascularization in the photocoagulation group and 3 eyes in the vitrectomy group. Preoperative and postoperative best corrected visual acuity ≥ 0 3, respectively, the photocoagulation group was 30 eyes, 47 eyes, the vitrectomy group was 0 and 5 eyes; ≥ 0 0 5 were 54 eyes, 60 eyes , Glass cut group was 11 eyes, 20 eyes. Conclusion The better funduscopy after vitrectomy is related to the more adequate intraocular photocoagulation. The number of residual vitreous after vitrectomy is related to the damage to the macula and the macular damage caused by vitrectomy. Therefore, patients with Eales should be underwent early fundus examination, once the laser treatment indications, should be treated as soon as possible; after treatment should be reviewed contrast, additional treatment, so as to avoid treatment is not completely caused by repeated massive vitreous hemorrhage on visual function damage