Outcomes analysis after vitrectomy of polypoidal choroidal vasculopathy combined with vitreous hemorrhage
10.3760/cma.j.issn.1673-4904.2013.24.004
- VernacularTitle:息肉样脉络膜血管病变合并玻璃体出血的玻璃体手术后转归分析
- Author:
Xinhui GUAN
;
He LI
- Publication Type:Journal Article
- Keywords:
Vitreous hemorrhage;
Vitrectomy;
Factor analysis,statistical;
Polypoidal choroidal vasculopathy
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(24):10-12
- CountryChina
- Language:Chinese
-
Abstract:
Objettive To evaluate the effect of taking vitrectomy on the patients who suffer from polypoidal choroidal vasculopathy (PCV) combined with vitreous hemorrhage (VH),observe the natural consequence of PCV combined with VH and analyze the factors that affected the visual prognosis.Methods The clinical data of 20 patients with PCV combined with VH who performed vitrectomy were analyzed retrospectively from January 2009 to September 2012.Best corrected visual acuity (BCVA) was compared before and after operation,and explored the factors that affected the visual prognosis.Results Patients were followed up 6-18 (13 ± 2) months.At the last follow-up,BCVA was improved and better than 0.05 in 11eyes.There was significant difference in BCVA between before operation (2.91 ±0.52) and 2 weeks after operation (1.52 ±0.51)(P =0.003).The natural factors between visual acuity improved patients and non-improved patients were compared,follow-up treatment and the condition of macular was the independent factor that affected the visual prognosis (P =0.009,0.034).There was significant difference in BCVA of 6months after operation between patients with follow-up treatment (photedynamic therapy or transpupillary thermotherapy,10 cases) and patients without follow-up treatment (10 cases)(0.77 ± 0.51 vs.1.43 ± 0.64)(P =0.035).Conclusions Vitrectomy can significantly improve the visual acuity of PCV combined with VH.It will get better visual acuity,if has photodynamic therapy or transpupillary thermotherapy postoperatively.
