| Objective: According to the collection and analysis of clinical cases, the essay explores the factors related to retinal vein obstruction of hypoperfusion retinopathy, discusses the vision of treatment plan of two kinds of chronic ischemic disease and prognosis, analyzes the correlation and difference of chronic ischemic disease of clinical governance, and provides more treatment ideas clear for clinical governance.Methods: During January, 2010 to July, 2013, 122 cases of venous obstruction and 4 cases of hypoperfusion retinopathy patients were collected in our hospital. Two groups were categorized according to the two diseases, in which a chart was made on the basis of the records of patients’ age, gender, body, treatment and prognosis of vision plan history. It analyzed the characteristics of two groups’ chronic ischemic disease diagnosis, treatment and prognosis by comparison.Results: The clinical data of the 122 cases vein obstruction and 18 cases of hypoperfusion retinopathy were analyzed retrospectively in our hospital. The results are as followed, among the patients who suffered the retinal vein occlusion, there were 12 eyes with ischemic branch retinal vein occlusion(9.7%), 6 eyes with central retinal vein occlusion(4.8%), 59 eyes with non ischemic branch retinal vein occlusion(47.6%), and 47 eyes with central vein block(37.9%), in which the average age was between 48.8 and72.4. There were 50 patients with hypertension(40.3%), 10 cases of diabetes(12.4%), 20 cases with more than one related diseases(16.1%), 37 patients with no relevant history(29.8%). Only 68 cases adopted drug conservative treatment; 49 cases used the associated laser treatment;1 cases applies vitrectomy.Among the 4 cases of hypoperfusion retinopathy patients, there were 2 patients who suffered coronary heart disease, and all of them accepted the treatment of retinal photocoagulation associated with medication.The average age of 18 cases low perfused retinopathy in patients with 52.6 + 9.8 years, of which 16 cases with carotid atherosclerosis in history, in 2 patients with Takayasu arteritis, 4 cases with a history of coronary heart disease, 6 cases with hypertension, 5 patients with a history of diabetes, 3 cases with more than one related diseases, 18 cases were for the drugs combined with retinal photocoagulation treatment. Statistical significance existed analysis of IOP contrast obstruction in patients suffering from intraocular pressure of patients with lateral and central vein branch vein occlusion(P<0.01), low perfusion of retinopathy in patients with intraocular pressure and the contralateral eye IOP had no statistical significance(P>0.05), low perfused retinopathy with branches and central vein occlusion comparative analysis of intraocular pressure had no statistical significance(P>0.05), Electrophysiological examination analysis: dark adaptation ERG examination: the central vein occlusion, branch vein occlusion and a wave of latent period between low perfusion retinopathy differences had no statistical significance(P>0.05); The central vein occlusion in branch vein occlusion a wave amplitude differences statistically significant(P<0.05); The central vein occlusion in low perfusion of retinopathy a wave amplitude differences statistically significant(P<0.05); Between the central vein occlusion and low perfusion retinopathy a wave amplitude has no statistical significance(P>0.05); The central vein occlusion and b wave latent period between branch vein occlusion differences had no statistical significance(P>0.05); The central vein occlusion in low perfusion of retinopathy b wave amplitude differences statistically significant(P<0.05); Between branch vein occlusion and low perfusion retinopathy b wave latent period, there was no statistically significant difference(P>0.05); The central vein occlusion in branch vein occlusion b wave amplitude differences statistically significant(P<0.05); The central vein occlusion in low perfusion of retinopathy b wave amplitude differences statistically significant(P<0.05); Branch vein occlusion and low perfusion b wave amplitude difference between retinopathy had no statistical significance(P>0.05); P-VEP examination branch vein occlusion, central venous congestion and low perfusion retinopathy time and amplitude of P100 latent period extend prognosis of no statistical significance(P>0.05) analysis: patients with retinal vein occlusion patients and low perfusion sex pathological change vision there were statistically significant(P<0.01), branch vein occlusion with wall- patients with central venous obstruction in patients with retinal circulation time analysis there were statistically significant(P<0.01).Conclusions: Two kinds of chronic ischemic disease diagnosis has its special clinical diagnosis and treatment, but as the same results formed by common effect of systemic and local factors, clinical therapy should be dialectically treated, whose diagnosis and treatment should also have a complete evaluation, and then a personalized treatment. However, it also should be based on recognizing the common pathologic basis between them so as to improve patient outcomes. |
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