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目的评估玻璃体手术和眼内光凝治疗伴玻璃体积血、新生血管膜或牵拉性视网膜脱离的视网膜静脉阻塞（ｒｅｔｉｎａｌｖｅｉｎｏｃｃｌｕｓｉｏｎ，ＲＶＯ）的疗效。方法复习连续的３７例ＲＶＯ患者经玻璃体手术和眼内光凝治疗的３８只眼临床资料。视网膜分支静脉阻塞（ｂｒａｎｃｈｒｅｔｉｎａｌｖｅｉｎｏｃｃｌｕｓｉｏｎ，ＢＲＶＯ）１９例２０只眼，视网膜中央静脉阻塞（ｃｅｎｔｒａｌｒｅｔｉｎａｌｖｅｉｎｏｃｃｌｕｓｉｏｎ，ＣＲＶＯ）１８例１８只眼。结果手术中确认２７只眼有新生血管膜，２３只眼有牵拉性视网膜脱离。手术后３４只眼视力改善，占８９．５％，其中２２只眼有０．１以上的视力。４只眼视力未变。ＣＲＶＯ组病史较长，手术后视力改善较少。结论玻璃体手术和眼内光凝能改善多数伴有玻璃体积血、新生血管膜和牵拉性视网膜脱离的ＲＶＯ眼预后。
Objective To evaluate the efficacy of vitrectomy and intraocular photocoagulation in the treatment of retinal vein occlusion (RVO) with vitreous hemorrhage, neovascular or retinal detachment. Methods The clinical data of 38 eyes treated with vitrectomy and intraocular photocoagulation in 37 consecutive RVO patients were reviewed. Nineteen patients (20 eyes) with branch retinal vein occlusion (BRVO) and 18 eyes (18 eyes) with central retinal vein occlusion (CRVO) were included. Results In operation, 27 eyes were confirmed as neovascular membrane and 23 eyes had traction retinal detachment. After surgery, 34 eyes improved visual acuity, accounting for 89.5%, of which 22 eyes had more than 0.1 eyesight. 4 eyes unchanged vision. CRVO group longer history, less improvement after surgery vision. Conclusion Vitreous surgery and intraocular photocoagulation can improve the prognosis of most RVO eyes with vitreous hemorrhage, neovascular membrane and traction retinal detachment.