准分子激光治疗近视术后黄斑出血的临床研究.docVIP

准分子激光治疗近视术后黄斑出血的临床研究 第42卷第2期 2004年4月 山东大学(医学版) JOURNALOFSHANDONGUNIVERSITY(HEALTHSCIENCES) V01.42No.2 Apr.2004 文章编号:1671—7554(2004)02—0214—03 准分子激光治疗近视术后黄斑出血的临床研究 周芳,曲毅 (山东大学齐鲁医院眼科,山东济南250012) [摘要]目的:探讨准分子激光治疗近视术后黄斑出血的特点及原因.方法:系统回顾1994年5月～ 2001年12月在我院行准分子激光治疗近视20248眼,其中术后黄斑出血10眼,从年龄,屈光度方面与 接受准分子激光治疗的总体人群比较,进行统计学分析,并行眼底及FFA检查,给予药物治疗,随访4～ 18个月.结果:黄斑出血8例10眼占我院激光治疗近视病例的0.494%c,与术式,性别,眼别无关;平均年 龄(32.10~12.36)岁,平均屈光度[(.15.50)±(.7.73)]D,与接受准分子激光治疗的总体人群的平均年龄 [(23.64~8.56)岁]及平均屈光度[(-6.65)D±(一2.36)D]相比,差异有显着性(t=2.053,Plt;0.05;t=3.434,Plt; 0.005).结论:准分子激光治疗近视术后的黄斑出血与病理性近视的视网膜病变有关,不能排除准分子激 光治疗为其诱因.高龄,高屈光度近视人群易发生黄斑出血,故对此类高危人群应慎行准分子激光治疗. 【关键词】准分子激光角膜切削术;准分子激光原位角膜磨镶术;黄斑出血 [中图分类号]R778.1l[文献标识码]A Macularhemorrhageafterphotorefractivekeratectomyorlaserinsitu keratomileusis ZHOUFang,QUYi . (Dept.ofOphthalmology,QiluHospitalofShandongUniversity,Jinan250012,Shandong,China) 【ABSTRACT】objective:Toobservethecharacteristicsofmacularhemorrhageinmyopesafter photorefractivekeratectomy(PRK1orlaserinsitukeratomileusis(LASIK).Methods:Aretrospectivestudy 0f20248eyeswithmyopiatreatedbyPRKorLASIKbetweenMayof1994andDecemberof2001 wascarriedoutand10eyes(8patients)werefoundpostoperativemacularhemorrhage.These10eyes wereexaminedwithfunduscopeandFFA.andtreatedwithdrugs.Allinvolvedpatientswerefollowed upf0r4～18months(average6.4months).Results:Teneyeswerefoundpostoperativemacularhemor. rhagein1995-1997.IthadnOrelationtothesurgicalmethod.sexandeye.Theinvolvedgroupinav. erage(32.10~12.36)wasolderthanthetotalpatientsgroup(23.64~8.56)(t=2.053,Plt;0.05).rI1heirre. fractivedegree[(?15.50)D±(一7.73)D]washigherthanthatofthetotalpatientsgroup[(-6.65)D±(一2.36)D] (t=3.434,Plt;0.005).Conclusion:MacularhemorrhageafterPRKorLASIKisrelatedtotheretinal diseasesofpathologicmyopia,andmaybeisinducedbyexcimerlaser,andtheincidenceofmacular hemorrhageishigherintheolderorthehypermyopia.PRKandLASIKshouldbehandledwithgreat careforsuchpersonstoimprovesurgicalsafety. 【KEYWoRDS】Photorefractivekeratectomy;Laserinsitukeratomileusis;Macula