眼内激光在玻璃体手术中的应用  

Endolaserphotocoagulationinvitrectomysurgery

作　　者：赵培泉[1] 王文吉[1] 陈钦元[1] 

机构地区：[1]上海医科大学附属眼耳鼻喉科医院眼科

出　　处：《中华眼科杂志》1996年第2期123-125,共3页Chinese Journal of Ophthalmology

摘　　要：目的论证眼内激光在玻璃体切除术中的用途及有效性。方法将眼内激光应用于４０例（４５只眼）玻璃体手术中。玻璃体切除术的适应证：玻璃体积血３１只眼（增殖性糖尿病视网膜病变１３只眼，Ｅａｌｅｓ病１３只眼，视网膜静脉阻塞４只眼及巩膜穿孔伤、球内异物取出术后１只眼）；复杂性视网膜脱离１２只眼；眼内非磁性异物和球内异物取出术后各１只眼。眼内光凝的方式包括全视网膜光凝７只眼；局限性光凝２２只眼；原发性或医源性裂孔光凝１４只眼；视网膜切开处光凝２只眼及环扎带形成的环形嵴上光凝３只眼。结果仅６只眼在封闭视网膜裂孔时因气－液交换不彻底而致光凝点反应不明显。术后随访２～１８个月（平均９个月），５只眼术后发生视网膜脱离。结论眼内激光是现代玻璃体手术不可缺少的重要工具，它的应用明显减少了手术并发症。ObjectiveToverifytheusefulnessandefectivenessofendolaserphotocoagulationinvitrectomy.MethodsEndolaserphotocoagulationwasappliedin40cases(45eyes)ofvitrectomysurgery.Indicationsforvitrectomyincludedvitreoushemorrhage31eyes(proliferativediabeticretinopathy13,Eales′sdisease13,retinalveinocclusion4,andscleralpenetratinginjurywithin-traocularforeignbodyremoval1),complexretinaldetachment12eyes,intraocularnonmagneticfor-eignbodyremovalandpostoperativesiliconeoiltamponade1eyerespectively.Treatmentinvolvedpan-retinalscatertherapyin7eyes,focaltherapyin22eyes,sealingprimaryoriatrogenicretinalbreaksin14eyes,drainingretinotomyin2eyes,andencirclingscleralbucklephotocoagulationin3eyes.Thefolow-uptimesrangedfrom2to18months(average9months).ResultsWhiteningoflaserspotswasnotapparentin6eyeswithretinalbreaksfolowingincompletegas-fluidexchange.Recurrentretinaldetachmentsoccurredin5eyespostoperatively.ConclusionEndolaserphotocoag-ulationfacilitatestheperformanceandreducesthecomplicationsofvitrectomysurgery.

关 键 词：激光 玻璃体切除术 激光光凝 

分 类 号：R779.63[医药卫生—眼科]