眼内激光光凝术在玻璃体切除手术中的应用  

Clinical application of endolaser in vitrectomy

作　　者：臧晶[1] 周斌兵[1] 卞庆宁[1] 张少冲[2] 高汝龙[2] 林晓峰[2] 

机构地区：[1]广州铁路中心医院,广东广州510080 [2]中山大学中山眼科医院,广东广州510060

出　　处：《眼外伤职业眼病杂志》2003年第11期761-762,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的 探讨眼内激光在玻璃体切除术中的用途及有效性。方法 将眼内激光应用于18例22眼玻璃体手术中。眼内光凝的方式:广泛视网膜光凝术14眼;环形激光视网膜拦截并封闭视网膜裂孔2眼;局限性光凝1眼;原发性或医源性裂孔光凝4眼;视网膜切开处光凝1眼。结果 术后随访1～24月(平均9月),2眼术后再次视网膜出血,其余20眼均达到视网膜平伏、裂孔封闭、视力不同程度提高。结论 眼内激光是现代玻璃体手术中重要的辅助措施,它的应用明显提高手术成功率。Objective To discuss the usefulness of and effectiveness of endolaser in vitrectomy. Methods 18 cases (22 eyes) of vitrectomy were treated with endolaser.The methods of endolaser: 14 eyes of panretinal scatter therapy;2 eyes for retinal breaks;I eyes for focal therapy; 4 eyes of sealing primary of iatogenic retinal breaks; 1 eyes for draining retinotomy. Results During an average follow up of 9 months (1 month to 24 months),retinal hemorrhage recurred in 2 eyes,retinal total rettachment and retinal breaks sealed and vision considerable recoveried in other 20 eyes.Conclusion Endolaser is an important adjuvant in vitreous operation.Application of endolaser improve the success rate of the vitreous operation.

关 键 词：眼内激光光凝术 玻璃体切除术 手术方法 玻璃体积血 玻璃体浑浊 

分 类 号：R779.63[医药卫生—眼科] R776.4[医药卫生—临床医学]