LASIK术前的眼底检查及预防性光凝  

Fundus examination and preventive photocoagulation before LASIK operation

作　　者：张燕[1] 李耀宇[1] 翟国光[1] 

机构地区：[1]北京军区总医院眼科,中国北京市100700

出　　处：《国际眼科杂志》2008年第1期211-212,共2页International Eye Science

摘　　要：目的:观察中高度近视患者LASIK术前对周边视网膜变性和裂孔进行预防性激光光凝的疗效。方法:LASIK术前对中高度近视患者常规行直接眼底镜、三面镜和间接眼底镜检查,对明确有周边视网膜变性或伴干性裂孔的42眼进行532nm激光光凝治疗。结果:患者激光光凝术后,周边视网膜变性及干性裂孔区封闭良好,色素斑形成明显。LASIK术后6mo随访,未发生裂孔源性视网膜脱离。结论:LASIK术前对明确有视网膜变性或伴干性裂孔的高度近视患者预防性532nm激光光凝治疗是安全和有效的。AIM ： To investigate the therapeutic effects of preventive laser photocoagulation for moderate and high myopia patients with peripheral retinal degeneration or holes before LASIK operation. METHODS： Moderate and high myopia patients underwent conventional direct and indirect ophthalmo- scopy and Goldmann three-mirror contact lens examination, forty-two eyes with moderate or high myopia were confirmed to have peripheral retinal degeneration or retinal holes and were treated with 532nm laser photocoagulation before LASIK operation. RESULTS： After laser photocoagulation, the retinal holes were sealed well and retinal condition was good. Pigment spots were obviously formed. Patients were followed up for 6 months, and no rhegmatogenous retinal detachment was found. CONCLUSION： Preventive 532nm laser photocoagulation for moderate and high myopia patients, who were confirmed to have peripheral retinal degeneration or retinal holes before LASIK operation, is safe and effective.

关 键 词：视网膜变性及干性裂孔 激光光凝术 中高度近视 

分 类 号：R779.63[医药卫生—眼科]