532nm激光光凝治疗视网膜前出血的临床观察  

Clinical observation of 532nm laser photocoagulation for pre-retinal hemorrhage

作　　者：陈芳[1] 宁红珠[1] 曾琼英[1] 余青松[1] 

机构地区：[1]肇庆医学高等专科学校,广东省肇庆市526000

出　　处：《眼科新进展》2014年第5期480-483,共4页Recent Advances in Ophthalmology

摘　　要：目的探讨532nm激光光凝治疗视网膜前出血的临床疗效。方法收集我院2010年1月至2013年10月确诊为视网膜前出血的患者13例（13眼），对其临床资料进行回顾性分析。8眼行激光爆破模式引流失败，改行激光光凝模式治疗；5眼视网膜前出血病程超过2周者直接行激光光凝模式治疗。所有患者均接受视网膜激光光凝模式治疗1～2次，术后随访1个月，观察视力、眼底彩照及并发症情况。结果接受激光治疗的13眼患者，6眼（46．2％）行1次视网膜激光光凝术、7眼（53．8％）行2次视网膜激光光凝术。所有病例经治疗后出血均明显吸收，平均吸收时间18．92d；视力都有不同程度提高，1个月后随访视力平均提高6．0行。视网膜前出血吸收后激光光凝处未遗留激光斑痕迹，亦无色素增生，所有病例无其他激光并发症发生。结论532nm激光光凝模式治疗视网膜前出血简单实用、安全有效，且可重复实施，在激光引流视网膜前出血失败后或对于病程较长者可作为有效治疗手段。Objective To explore the clinical efficacy of 532 nm laser photocoag- ulation for pre-retinal hemorrhage. Methods Thirteen patients （ 13 eyes） with pre- retinal hemorrhage in our hospital from January 2010 to October 2013 were collected and the clinical data were retrospectively analyzed. All 13 eyes were treated by 532 nm laser photocoagulation,in which 8 eyes underwent the laser photocoagulation treatment of pre-retinal hemorrhage after the laser incision and drainage of the posterior vitreous cortex had failed,5 eyes with the treatment duration of over 2 weeks directly underwent the laser photocoagulation treatment. All the patients went through the retinal laser pho- tocoagulation once or twice,the follow-up time was 1 month, the visions, fundus photo- graphs and complications were observed. Results Of all the 13 eyes treated by laser, 6 eyes（46.2% ）undergone the retinal laser photocoagulation once and 7 eyes（ 53.8% ） twice. After the treatment the pre-retinal hemorrhage significantly absorbed and the av- erage time of absorbing was 18.92 days. The vision of all cases improved to varying de-grees,the average vision at postoperative 1 month improved by 6.0 lines. No photocoagulatlon spots were leIt aria no pig- ment proliferation appeared on the laser mark after pre-retinal hemorrhage absorbing. No obvious laser complication was observed in all cases. Conclusion 532 nm laser photocoagulation for pre-retinal hemorrhage is simple,practical,safe and effective ,and can be operated repeatedly. It can be used as an effective method after the failure of the laser incision and drainage of the posterior vitreous cortex or in the context of a relatively long duration.

关 键 词：视网膜前出血 激光光凝术 糖尿病视网膜病变 

分 类 号：R774.5[医药卫生—眼科]