AIM:To analyze the treatment of macular hemorrhage caused by rupture of retinal aortic aneurysm and its effect.METHODS:Totally 7 case (7 eyes) of macular hemorrhage caused by rupture of retinal aortic aneurysm in our hospital from January 2012 to January 2016 were collected.Three cases of hemorrhage were pre-retina,in which 1 eye was observed (without treatment) and 2 eyes were treated with 532nm laser vitreous cortex incision drainage.In 3 eyes with hemorrhage in the retinal,all were given anti-vascular endothelial growth factor (VEGF) treatment.In 1 eye with both pre-retinal and in the retinal hemorrhage,combined treatment was given as the intravitreal injection + laser vitreous cortex incision and drainage and anti-VEGF therapy.RESULTS:All 7 cases of pre-retinal and retinal hemorrhage were absorbed,visual acuity improved to varying degrees.CONCLUSION:The treatment of macular hemorrhage caused by rupture of retinal aortic aneurysm should be treated according to the scope and location of bleeding,so as to achieve better prognosis.%目的:分析视网膜大动脉瘤破裂致黄斑部出血的治疗方法及效果.方法:收集2012-01/2016-01在我院就诊的视网膜大动脉瘤破裂致黄斑部出血患者7例7眼,3眼出血位于视网膜前的患者,1眼观察,2眼给予532nm激光玻璃体后皮质切开引流术;3眼出血位于视网膜内的患者,给予抗VEGF治疗;1眼合并有视网膜前及视网膜内出血的患者,给予球内注气+激光玻璃体后皮质切开引流+抗VEGF治疗.结果:患者7例7眼视网膜前及视网膜内出血均吸收,视力得到不同程度改善.结论:针对视网膜大动脉瘤破裂致黄斑出血的治疗,应根据出血范围和位置选择相应的治疗方法,从而达到较好的预后.
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