RESUMO
Sixty-one patients (62 eyes) with vitreous hemorrhage were studied. None were associated with diabetic retinopathy or perforating injuries and all required surgical treatment. The patients had dense vitreous hemorrhage with preoperative visual acuity of counting finger or worse in 55 eyes (88.7%). After the operation, a final visual acuity of 6/60 or better was found in 32 eyes (51.6%). The common causes of vitreous hemorrhage were subretinal neovascularization, blunt trauma, branch retinal vein occlusion, post-cataract extraction, retinal detachment with tears, and retinal vasculitis. There was no association between the postoperative visual outcome and either the preoperative visual acuity or the duration of vitreous hemorrhage. The pathological change at the macular area was the main factor which influenced the visual outcome.
Assuntos
Adolescente , Adulto , Idoso , Distribuição de Qui-Quadrado , Criança , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Vitrectomia , Hemorragia Vítrea/etiologiaRESUMO
Retinal detachment with macular hole was treated by different methods. Intravitreal SF6 injection was helpful to seal the macular hole and reattach the retina. In cases of retinal detachment with macular hole and peripheral retinal tear, the retinal reattachment could be achieved by scleral buckling procedure. When vitreous traction adjacent to the macular hole or proliferative vitreoretinopathy was present, vitrectomy combined with internal temponade by SF6 gas injection was indicated. Failure of the operation was caused by inadequate removal of the vitreous traction and post-operative vitreoretinopathy. In a successful operation, visual acuity of 6/60 or better was found in eight of thirty-one patients. (25.8%)
Assuntos
Adolescente , Adulto , Idoso , Criança , Feminino , Seguimentos , Humanos , Terapia a Laser , Masculino , Pessoa de Meia-Idade , Prognóstico , Descolamento Retiniano/complicações , Perfurações Retinianas/complicações , Acuidade VisualRESUMO
A case of exudative retinal detachment in a 16-year-old Thai woman with toxemia of pregnancy was reported. The patient developed bilateral retinal detachment during toxemia of pregnancy. After termination of pregnancy, the blood pressure returned to normal level, the subretinal fluid reabsorbed and the retina reattached. The visual acuity improved from 6/60 to 6/9 both eyes.