비당뇨성 유리체출혈에 대한 임상분석 |
김재우, 김보윤, 박영근, 송민혜, 노영정 |
Department of Ophthalmology, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea |
Clinical Analysis of Non-diabetic Vitreous Hemorrhage |
Jae Woo Kim, Boyun Kim, Young-Gun Park, Min Hye Song, Young Jung Roh |
|
Abstract |
Purpose To investigate the correlation between the time of vitrectomy and visual prognosis and possible causes of vitreous hemorrhage in non-diabetic patients diagnosed with vitreous hemorrhage. Methods: This study investigated the possible causes of vitreous hemorrhages based on the medical records of 97 eyes that underwent vitrectomy. Subjects were divided into early (within 6 weeks) and late (after 6 weeks) groups based on the time of surgery, and the best corrected visual acuity, visual acuity improvement, and the correlation between the time of surgery and the visual acuity were analyzed. Results: There was no significant difference in average visual acuity before a vitrectomy, average visual acuity 1 year after the surgery, mean visual acuity improvement between the two groups when the underlying cause was branch retinal vein occlusion, retinal tear, or trauma (p>0.05). However, when the underlying cause was central retinal vein occlusion, the mean visual acuity improvement was significantly higher in the early surgery group (p=0.005). Conclusions: The timing of vitrectomy in non-diabetic patients with vitreous hemorrhages caused by diseases other than central retinal vein occlusion did not significantly increase the visual acuity. However, it is important to promote early visual recovery and find out underlying disease of vitreous hemorrhage by early vitrectomy in order to prevent complications. (Korean J Optom Vis Sci 2011;10(2):95-100) |
Key Words:
Early vitrectomy, Non-diabetic, Vitreous hemorrhage |
|