后巩膜加固术前周边视网膜变性的预防性光凝  

The Preventive Photocoagulation to Peripheral Retinal Degeneration before Posterior Sclera-Solidified Operation(PSSO)

作　　者：陶军[1] 牛彤彤[1] 徐艳春[2] 吴倩 李红梅[4] 

机构地区：[1]沈阳市第四人民医院眼科,110031 [2]中国医科大学附属第一临床学院眼科 [3]盘锦市第二人民医院眼科 [4]沈阳市沈河区红十字会医院眼科

出　　处：《中国实用眼科杂志》2003年第6期J006-J007,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :阐明周边视网膜变性的预防性光凝对于后巩膜加固手术的重要性。方法 :对欲行后巩膜加固术的 49例 ( 84眼 )高度近视合并严重周边视网膜变性的患者进行了预防性激光治疗 ,患者年龄 9～ 5 4岁 ,眼轴长度 :2 5 94～ 3 1 95mm ,屈光度 :-6 5 0～ -2 2 0 0D。结果 :其中有 46例 ( 78眼 )行后巩膜加固手术 ,随访 6～ 3 8个月 ,无一例发生视网膜脱离。结论 :对欲行后巩膜加固术的患者进行详细的眼底检查 ,并对周边视网膜变性严重者实施预防性激光治疗可大大降低术后视网膜脱离的发生率。Objective:Clarify the importance of Preventive Photocoagulation to Perapheral Retinal Degeneration in Posterior Sclera Solidified Operation(PSSO). Methods:Preventive Photocoagulation treatment to those who suffer from high myopia combined with serious peripheral retinal degeneration and will be given PSSO.49 cases (84 eyes),age from 9 to 54,optic axis:25 94～31 95mm,Diopter:-6 50～-22 00D. Results:46 cases (78 eyes) were given PSSO,6～38 months follow up.No retinal detachment happened. Conclusions:Carefully ocular fundus examination should be done to those patients who will be given PSSO.The applying of preventive photocoagulation method to perapheral retinal degeneration can greatly reduce the occur of retinal degeneration after operations.

关 键 词：后巩膜加固术 术前 周边视网膜变性 预防性光凝 高度近视 

分 类 号：R778.11[医药卫生—眼科] R779.63[医药卫生—临床医学]