Patient: Name of medication: first discharge from hospital to take western medicine see small nodules, 2nd discharge to pure Chinese medicine treatment
Dosing instructions.
See the uploaded 1st and 2nd discharge summary report every day. A few days after discharge, I went to the hospital to check my vision at 0.8 but there was a mechanized film. If conservative, how long do I need to observe? What is the impact and success rate after surgery? Li Qiuming, Ophthalmology Center, First Affiliated Hospital of Zhengzhou University
According to your medical history, your vitreous hemorrhage was caused by retinal rupture and hemorrhage due to the pulling of the retina during the posterior vitreous detachment, and the hemorrhage has been partially absorbed by medication (vision recovered to 0.6), and the retinal fissure has been closed by laser. Therefore, it is suitable to continue the medication treatment and to review regularly at the outpatient clinic. If retinal detachment occurs at the time of review, surgery will be performed promptly; in the case of no retinal detachment, after 2~3 months of observation and medication, vitreous opacities will not affect vision much anymore. At this time, if the vision is reduced, it is necessary to determine whether it is caused by vitreous mix or fundus disease. After observation, if the vitreous clouding is still obvious and affects the vision, vitrectomy is feasible. At this time, because the laser spot has been firmly closed to the retinal fissure, it is generally not necessary to combine intraocular filling (gas or silicone oil) when doing vitrectomy, which can reduce the cost of surgery, surgical complications and the pain of postoperative body position, which is of great clinical significance.