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目的:探讨视网膜血管瘤及其并发症眼内手术治疗的方法和效果。方法:回顾分析通过眼内手术治疗的4例视网膜血管瘤及其并发症患者的住院及5~24个月随访资料结果:4例患者均采用玻璃体切除合并膜剥除手术,其中2例加眼内冷冻血管瘤,硅油填充1例。术后患者视力均提高,黄斑前膜剥除,视网膜复位,经冷冻的血管瘤退行。未见并发症。结论:视网膜血管瘤合并有玻璃体出血、黄斑前膜及牵拉性视网膜脱离时,采用眼内手术可提高视力。眼内冷冻对顽固性血管瘤有一定治疗作用。
Objective: To explore the methods and effects of intraocular surgical treatment of retinal hemangiomas and their complications. Methods: The hospitalization and 5-24 months follow-up of 4 cases of retinal hemangioma and its complications treated by intraocular surgery were retrospectively analyzed. Results: All the 4 cases were treated by vitrectomy combined with membrane dissection. Among them, 2 cases Internal frozen hemangioma, silicone oil filled in 1 case. Postoperative visual acuity was improved, macular anterior membrane stripping, retinal reattachment, the frozen hemangioma retrograde. No complications. Conclusion: The retinal hemangioma with vitreous hemorrhage, macular anterior membrane and traction retinal detachment, the use of intraocular surgery can improve visual acuity. Intraocular freezing of refractory hemangioma have a therapeutic effect.