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目的总结视网膜静脉栓塞的临床治疗要点。方法应用氩激光治疗视网膜中央静脉栓塞105例108眼。按初始视力分为3组,Ⅰ组10眼,Ⅱ组34眼,Ⅲ组64眼。对视力、眼压、视网膜/视盘新生血管以及黄斑水肿情况进行了5~44个月的随访,平均随访22个月。结果Ⅰ组,10眼中9眼最终视力稳定。Ⅱ组,视力预后不同,最终视力进步8眼(24%),稳定15眼(44%),下降11眼(32%)。Ⅲ组,95%治疗后视力<0.1,视力进步、稳定、下降各占1/3。结论对视力预后的估计取决于初始视力。
Objective To summarize the clinical treatment of retinal vein thrombosis. Methods 105 cases (108 eyes) of central retinal vein occlusion were treated with argon laser. Divided into three groups according to initial vision, Ⅰ group of 10 eyes, Ⅱ group of 34 eyes, Ⅲ group of 64 eyes. Visual acuity, intraocular pressure, retinal / optic disc neovascularization and macular edema were followed up for 5 to 44 months with an average follow-up of 22 months. Results In group Ⅰ, the final visual acuity was stable in 9 eyes of 10 eyes. In group Ⅱ, the visual prognosis was different. The final visual acuity improved in 8 eyes (24%), stable in 15 eyes (44%), and decreased in 11 eyes (32%). Group Ⅲ, 95% visual acuity after treatment <0.1, visual acuity improved, stable, decreased by 1/3. Conclusion The assessment of visual outcome depends on initial vision.