氪多波长激光治疗及预防视网膜脱离临床分析.docVIP

氪多波长激光治疗及预防视网膜脱离临床分析 　【摘要】 目的 分析氪多波长激光治疗和预防视网膜脱离的效果。方法 用氪多波长激光治疗和预防视网膜脱离患者188例（193眼）。结果 视网膜周边干性裂孔和视网膜周边变性单纯用氪多波长激光治疗15眼，成功100%；局限性孔源性视网膜浅脱离10眼，先使用脱水剂、卧床休息、单眼加压包扎等措施，而后行激光治疗，成功率80%，2眼因玻璃体有牵引结合局部垫压术后成功；巩膜外扣带术后激光封孔141眼，成功率96.5%。5眼因玻璃体有牵引行玻璃体手术后眼内激光封闭裂孔成功；复杂性视网膜脱离经玻璃体切割手术，术中及术后激光封闭裂孔27眼，成功100%。结论 氪多波长激光治疗和预防视网膜脱离成功率高，创伤小，对于周边视网膜干性裂孔和变性激光治疗可以预防视网膜脱离的发生。激光可根据病情在术中术后选择，作为常规视网膜脱离手术和玻璃体手术的补充治疗。 【关键词】 孔源性视网膜脱离；氪多波长激光；光凝 【Abstract】 Objective To analyse the effectiveness of treatment and prevention of retinal detachment by krypton laser.Methods Using kryptonlaser to treat and prevent the retinal detachment in 193 eyes.Results 15 eyes of peripheral retinal dry hole and peripheral retinal degeneration were treated only by laser treatment and successful rate was 100%；10 eyes with local rhegmatogenous retinal detachment，were initially treated with herbal dehydrant，followed by laser treatment and successful rate was 80%；2 eyes failed due to the traction of vitrous were successfully treated with the aids of local pad；141 eyes with retinal detachment were treated by scleral buckling combined with krypton laser and success rate was 96.5%，5 eyes failed due to the traction of vitrous were successfully treated with the aids of vetroretional operation；27 eyes with complicated retinal detachment were treated by vetroretional operation，followed by intro-and post-operation，and success rate 100%.Conclusion Treatment and prevention of the retinal detachment by krypton laser has a high rate of success and few traumas.It could prevent the occurring of retinal detachment of peripheral retinal hole and degeneration.Laser could be a supplementary therapy in routine and vitreous operation intro-and post-operation. 【Key words】 rhegmatogenous retinal detachment；krypton laser；photocoagulation 原发性孔源性视网膜脱离是由于视网膜裂孔所致的视网膜神经感觉层与色素上皮之间的分离。当第一只眼发生视网膜脱离后，5年内有20%～50%的患者另一只眼也会发生视网膜脱离［1］，其发生的根本原因是视网膜裂孔的存在和玻璃体液化后脱离。治疗的原则是封闭裂孔，促进视网膜复位，并使之牢固地与色素上皮及脉络膜黏合。现代眼科激光技术不仅用于治疗许多眼底病，而且也是目前治疗和预防视网膜脱离的重要手段。主要用于封闭视网膜裂孔和治疗