干性视网膜裂孔眼底光凝术后随访177例  

A follow -up study of laser photocoagulation on dry retinal tear

作　　者：付群[1] 张光军[2] 徐雯[1] 

机构地区：[1]新乡医学院第三附属医院眼科,河南新乡453003 [2]新乡医学院药物研究室

出　　处：《中国民康医学》2009年第7期707-708,711,共3页Medical Journal of Chinese People’s Health

摘　　要：目的：探讨干性视网膜裂孔眼底光凝治疗术对患者视力预后的影响。方法：回顾分析2000年1月至2007年12月在我院眼科接受眼底光凝治疗的干性视网膜裂孔病例，并且随访时间≥6月、随访资料完整者177例（179眼），按照随访时间，专人负责观察视力、眼压、间接检眼镜眼底检查；术后2周、4周、2月、6月、12月随访，最长随访至术后5年。采用SPSS14.0进行统计学处理。率的检验用X。检验，均值比较采用t检验。结果：本组病例术后复诊时眼底检查均可见视网膜裂孔封闭良好，孔周可见视网膜萎缩斑和明显色素沉着，治疗部位未发现新的视网膜脱离。治疗前和治疗后6月时视力／矫正视力分别为0.63±0.29和0.67±0.31.无显著差异（t=0.04，P〉0.05），视力水平构成比也无显著差异（X^2=2.47，P〉0.05）。结论：干性视网膜裂孔行眼底激光光凝术安全可靠、无不良反应，尤其在视网膜脱离高危人群包括高度近视眼、无晶状体眼和人工晶状体眼、钝挫伤以及另眼有视网膜脱离病史者，更应常规散瞳进行详细的眼底检查，早期发现干性裂孔，及时给予眼底激光光凝术，防患于未然。Objective ： To investigate the clinical effects of laser photocoagulation on dry retinal tear. Methods： A retrospective analysis on the cases of dry retinal tear occurred between from January 2000 to December 2007 were treated by the laser photocoagulation. These cases were followed-up for more than months, and collected a completed case information from 177 individuals for 179 eyes. During the follow-up period, these cases were examined by ophthalmological specialists and treated on visual acuity, intraocular pressure and ocular fundus with indirect ophthalmoscope. Analysis of the data was carried out with the Statistical Package for Social Sciences （ SPSS 14.0, Chicago, IL, USA）. Statistically significant differences were determined using paired Students＇ t-test, Wilcoxon test for unpaired data or Fisher＇s exact test as appropriate. P-value of 0.05 was considered statistically significant. Results： The periods of postoperative follow-up were 2 weeks, 4 weeks, 2 months, 6 months, and 12 months, respectively. All cases of ocular fun- dus presented well-blockage of retinal tear, retina maculae atrophic and obvious pigmentation display around the tear. New retinal de- tachment was not found at the curative location. The visual acuity and corrected vision in the prior treatment and 6 months after post-treatment were 0.63±0.29 and 0.67±0.31. A paired t- test comparing the results were no found significant difference. There was no significant difference （t= 0.04, P 〉 0.05） and no statistical significantly difference were found for the component ratio of visual a-cuity （x^2= 2.47, P〉0.05）. Conclusions： The technique using the laser photocoagulation on dry retinal tear appears to be safe and reliable, especially applied among the high - risk population with retinal detachment including the high myopia, the aphakia, ocular blunt trauma and the artificiallens. Ectopic patients with another retinal detachment should be prevented if a routinely mvdriasis and detailed examination of ocular fundu

关 键 词：光凝术 激光 随访 于性视网膜裂孔 

分 类 号：R779.63[医药卫生—眼科]