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西方人玻璃体大出血最常由增殖性糖尿病性视网膜病引起。由于中国人增殖性糖尿病性视网膜病变不很常见,故玻璃体大出血多并发于视网膜静脉阻塞的疾病。待玻璃体出血自发地吸收干净后,考虑由增殖性糖尿病性视网膜病变并发的玻璃体出血的诊断,外科手术的理想时机与技术并不适用于由视网膜静脉阻塞引起的玻璃体出血,而后者除引起玻璃体出血外,最常见的是并发视网膜后撕裂与脱离。中国人眼玻璃体出血与视网膜后撕裂或脱离在玻璃体有稠密的血时要作出病因学的诊断常常是困难的。本文描述了一系列这方面的个人经验,术前调查情况以及手术方法和成果。
Westerner vitreous hemorrhage is most often caused by proliferative diabetic retinopathy. Because of Chinese proliferative diabetic retinopathy is not very common, so many vitreous hemorrhage complicated by retinal vein occlusion disease. After vitreous hemorrhage spontaneously absorbed clean, consider the diagnosis of proliferative diabetic retinopathy complicated by vitreous hemorrhage, the ideal timing and technique of surgery is not suitable for vitreous hemorrhage caused by retinal vein occlusion, which in addition to causing vitreous hemorrhage In addition, the most common is subsequent retinal tears and detachment. Chinese eye vitreous hemorrhage and retinal tears or detachment in the vitreous have dense blood to make a diagnosis of etiology is often difficult. This article describes a series of personal experiences in this area, the preoperative investigation and surgical methods and outcomes.