摘要
目的:分析视网膜大动脉瘤的临床治疗方法及效果。方法:收集2016-06/2018-04于我院就诊的视网膜大动脉瘤患者26例26眼,根据动脉瘤的不同类型及临床表现选择不同的治疗方法,观察治疗患者视力变化及治疗效果。结果:患者视力及治疗效果与病变类型、是否累及黄斑区、病程、治疗方法密切相关,出血型、累及黄斑区和病程较长的患者预后较差。气体血肿移除术对于病程不超过3wk的黄斑区视网膜下积血的患者疗效显著。结论:及时选择适当的治疗方法能够挽救视网膜大动脉瘤患者的视力,获得较好的预后。
AIM: To analyze the treatment of retinal arterial macroaneurysm( RAM) and its efficacy.METHODS: A total of 26 diagnoses of retinal arterial microaneurysm made in the Fourth People's Hospital of Shenyang between June 2016 and June 2018 were reviewed. Various treatment strategies for different types, and complications, of RAM were utilized,with the clinical, anatomical, and functional outcomes being analyzed retrospectively.RESULTS: Visual prognosis and its efficacy were due to the scope and location of exudation or heamorrhage, disease duration and treatments employed. Hemorrhagic RAM, edema or hemorrhage affecting the macular region and long disease duration associated with poor prognosis. Vitrectomy with subretinal air tamponade had strong functional and anatomical effects on submacular haemorrhages within 3 wk. CONCLUSION: A suitable,individually adapted treatment of retinal arterial macroaneurysm should be chosen to achieve better prognosis.
引文
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