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目的:评价女性Eales病的临床特征及对持久的玻璃体出血和牵拉性视网膜脱离的玻璃体手术效果。方法:复习本科1993年4月至1994年12月经玻璃体手术治疗的该病患者的病历记录。结果:8例(11只眼)女性患者占同期该病患者的22%,年龄19～35岁,平均病史10.8个月,急性发病后持久出血及视力严重丧失,伴视盘和周边部新生血管膜及黄斑水肿。10只眼玻璃体手术后视力明显改善8只眼,0.2～1.0者6只眼。1眼有早期周边部血管白鞘,经氩激光光凝。结论:女性Eales病的特点可能包括年龄轻,病史短,急性发作,有持久出血和新生血管膜形成。玻璃体手术能有效改善多数眼的视力。
OBJECTIVE: To evaluate the clinical characteristics of women with Eales disease and the results of vitrectomy for persistent vitreous hemorrhage and traction retinal detachment. Methods: To review the medical record of the patients undergoing vitreous surgery from April 1993 to December 1994. Results: Eight women (11 eyes) accounted for 22% of the patients in the same period, ranging in age from 19 to 35 years old, with an average history of 10.8 months. Persistent bleeding and severe vision loss after acute onset were associated with optic disc and peripheral neovascularization And macular edema. Visual acuity in 10 eyes after vitreous surgery was significantly improved in 8 eyes and 0.2 ~ 1.0 in 6 eyes. 1 eye with early peripheral vascular sheath, argon laser photocoagulation. CONCLUSION: The characteristics of female Eales disease may include young age, short history, acute exacerbation, persistent bleeding and neovascular formation. Vitreous surgery can effectively improve the vision of most eyes.