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眼内硅油取出术前激光光凝对防止视网膜脱离复发的效果观察 被引量:14

OBSERVATION OF EFFECT OF LASER PHOTOCOAGULATION BEFORE INTRAOCULAR SILICONE OIL REMOVAL ON GUARDING AGAINST RECURRENCE OF RETINAL DETACHMENT
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摘要 目的:观察视网膜脱离手术硅油填塞患眼在取出硅油前进行视网膜光凝对防止视网膜再脱离的效果。方法:对24例24只施行过玻璃体视网膜手术和硅油填塞的视网膜脱离患眼,在取出硅油前2周至3个月时用氩绿或氪红激光在巩膜嵴后作全周或半周播散性光凝。硅油在注入后4~27个月(平均10.6个月)时取出。结果:22只眼硅油取出后视网膜保持复位,占91.7%;2只眼分别因周边部原裂孔处附着不牢及前PVR发生视网膜再脱离,占8.3%。结论:视网膜脱离手术硅油填塞患眼,取硅油前先行激光光凝,可减少硅油取出后视网膜脱离的复发。 PURPOSE:To observe the effect of laser photocoagulation on prevention of recurrence of retinal datachment following removal of intraocular silicone oil.METHOD:Laser photocoagulation was performed in a series of 24 cases(24 eyes)which had been formerly operated on with vitreoretinal surgery and intraocular silicone oil tamponade for retinal datachment,2 weeks to 3 months before intraocular silicone oil removal.Argon green or krypton red laser photocoagulation were done in whole or half cycle scattered laser burns behind the scleral ridge.RESULT:Among the 24 eyes ,after the intraocular silicone oil had been removed,22(91.7%)eyes had their retinas retained in normal position.CONCLUSION:Laser photocoagulation before removal of intraocular silicone oil might be helpful in avoiding the recurrence of retinal detachment.
出处 《中华眼底病杂志》 CAS CSCD 北大核心 1997年第4期197-198,共2页 Chinese Journal of Ocular Fundus Diseases
关键词 视网膜脱离.预防与控制 激光凝固术 硅油类 Retinal detachment/prevention & control Laser coagulation Silicone oil
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