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目的 :总结改良式玻璃体切割术治疗玻璃体混浊的体会。方法 :用荷兰DORC公司生产玻璃体切割器在间接眼底镜下对 12例玻璃体混浊 13次行视轴区玻璃体切割术。结果 :术后视力无增进 3例 ,0 .1～ 0 .5共 5例 ,0 .8～ 1.5共 4例。术后继发青光眼 2例 ,玻璃体再积血 2例 ,白内障加重 1例 ,均遗留不同程度周边玻璃体混浊。结论 :玻璃体切割术是治疗难吸收性玻璃体混浊最理想的手段 ,能很快恢复患者视力。本组术中采用间接眼底镜下视轴区玻璃体切割术 ,在条件受限的情况下简化了手术 ,减少了视网膜破孔、视网膜脱离等并发症。
Objective: To summarize the experience of modified vitrectomy for vitreous opacity. Methods: 12 cases of vitreous opacity were treated with vitrectomy under the indirect ophthalmoscope. Results: No postoperative visual acuity in 3 cases, 0 .1 ~ 0. 5 in 5 cases, 0.8 ~ 1.5 in 4 cases. Postoperative secondary glaucoma in 2 cases, vitreous hemorrhage in 2 cases, cataract exacerbation in 1 case, all left behind varying degrees of peripheral vitreous opacity. CONCLUSIONS: Vitrectomy is the best treatment for difficult-to-absorb vitreous opacities and can quickly restore vision in patients. This group of patients using indirect funduscopic hysteroscopic vitrectomy, in the case of limited conditions to simplify the operation, reducing retinal breaks, retinal detachment and other complications.