目的：分析首发症状为玻璃体积血的视网膜裂孔的激光治疗临床效果。方法：回顾性分析我院于2015年6月~2017年3月就诊的首发症状为玻璃体积血的患者32例32眼，经三面镜检查证实为视网膜裂孔所致，行视网膜激光治疗，其中因玻璃体积血难以窥见眼底者，先给予药物治疗待积血吸收证实为视网膜裂孔所致者再行视网膜激光治疗。结果：随诊观察3个月，29例29眼玻璃体积血吸收，3例3眼因视网膜血管呈桥样位于裂孔上，血管再次受到牵拉破裂出血难以完成激光治疗，行玻璃体切割术，术后视网膜裂孔均封闭，随诊3个月无复发。结论：视网膜激光是治疗视网膜裂孔合并玻璃体积血的有效方法，但要注意视网膜裂孔的位置及形态。
Objective: To analyze the clinical effect of laser therapy on retinal hiatus with vitreous hematoma as the first symptom. Methods: Retrospective analysis in June 2015-March 2017 visits the first symptoms of 32 cases (32 eyes of vitreous hemorrhage patients, the three sides to verify actually caused by the retina in microscopy, laser treatment of retinal, among them with vitreous hemorrhage is difficult to see the fundus, first has been given medication to hemorrhage absorption for the retina in any laser treatment of retinal diseases shall be considered. Results: After 3 months of follow-up observation, 29 cases of vitreous hemopharmaceutic absorption occurred in 29 eyes, and 3 cases and 3 eyes were unable to complete laser treatment due to retinal blood vessels located in the hiatus as bridglike, and the blood vessels suffered from rupture and hemorrhage by pulling again. Vitrectomy was performed, retinal holes were all closed after surgery, and no recurrence was found in 3 months of follow-up examination. Conclusion: Retinal laser is an effective method to treat retinal hiatus complicated with vitreous hemorrhage, but the location and shape of retinal hiatus should be paid attention to.
