氪激光治疗视网膜裂孔预防视网膜脱离的临床观察  

Clinical observation for the treatment on retinal hole

作　　者：孟薇[1] 贾红艳[1] 孙競[1] 

机构地区：[1]青岛大学医学院附属威海医院,山东威海264200

出　　处：《临床眼科杂志》2012年第1期39-40,共2页Journal of Clinical Ophthalmology

摘　　要：目的分析氪激光治疗视网膜裂孔预防视网膜脱离的效果。方法将75例(78只眼)视网膜裂孔患者分成两组,一组用氪多波长激光治疗47例(49只眼);一组随访观察28例(29只眼)。结果视网膜裂孔和视网膜周边变性单纯用氪多波长激光治疗49只眼,成功100%;随访组28例(29只眼),22只眼裂孔无变化。有8只眼于24个月内出现局限性视网膜脱离,两组比较P<0.01。对失败病例立即行激光治疗,8只眼全部视网膜复位、裂孔封闭。结论使用激光治疗视网膜裂孔和变性可以预防视网膜脱离的发生;单纯视网膜裂孔玻璃体条件好时可以随访观察,但应缩短随访时间,长时间密切观察;对视网膜裂孔伴有局限性视网膜脱离,可以试用激光治疗。Objective To evaluate the method to treat retinal holes and analyze the effect of treating and preventing retinal detachment using krypton laser.Methods Patients with retinal holes were divided into two groups,47 patients（49eyes）were treated with krypton laser and another 28 patients（29eyes）were followed up.Results No patients（49eyes） treated with krypton laser occurred retinal detachment,which the achievement ratio was 100%.8 eyes in follow-up group occurred local retinal detachment and other 22 eyes had no change.The difference between two groups were statistically significant.Conclusion Treating retinal holes and retinal degeneration by laser can prevent retinal detachment.Patients with simple retinal hole who had a good vitreous body can be followed up for a long time.Laser therapy can be used to treat patients with local retinal detachment.

关 键 词：视网膜裂孔 视网膜脱离 氪激光 光凝 

分 类 号：R779.63[医药卫生—眼科]