国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
10期
1786-1788
,共3页
视网膜病变%激光凝固术%全激光表层切削术
視網膜病變%激光凝固術%全激光錶層切削術
시망막병변%격광응고술%전격광표층절삭술
retinopathy%retinal photocoagulation%transepithelial photorefractive keratectomy
目的：探讨对术前发现合并视网膜病变(除视网膜脱离)的近视患者优先进行经上皮准分子激光屈光性角膜切削术( transepithelial photorefractive keratectomy, Trans-PRK )屈光手术治疗的安全性和疗效。<br> 方法：采用准分子激光系统对46例65眼术前检查发现有视网膜病变(除视网膜脱离外)的患者进行Trans-PRK治疗,其中先行眼底激光治疗后行Trans-PRK的21例33眼患者设为对照组,另外先行Trans-PRK后行眼底激光治疗的25例32眼患者设为研究组,两组均对患者术后视网膜情况、裸眼远视力、矫正视力、屈光度、眼压进行随访,观察并分析。<br> 结果：研究组Trans-PRK 术后2 wk 及视网膜光凝后1 mo检查,均未发现视网膜裂孔增大,未发现视网膜脱离,视网膜变性区范围无扩大,程度未加深。对照组于视网膜光凝后1 mo及Trans-PRK后1 mo检查见视网膜变性区及裂孔均稳定,未见扩大及加深。<br> 结论：合并视网膜病变的近视患者先行Trans-PRK或者先行视网膜光凝均未对视网膜病变造成影响；对术前检查发现合并视网膜病变(除视网膜脱离)的患者优先进行Trans-PRK术是安全、有效的,并且为患者争取了尽快恢复裸眼视力、参加体检的时间。
目的：探討對術前髮現閤併視網膜病變(除視網膜脫離)的近視患者優先進行經上皮準分子激光屈光性角膜切削術( transepithelial photorefractive keratectomy, Trans-PRK )屈光手術治療的安全性和療效。<br> 方法：採用準分子激光繫統對46例65眼術前檢查髮現有視網膜病變(除視網膜脫離外)的患者進行Trans-PRK治療,其中先行眼底激光治療後行Trans-PRK的21例33眼患者設為對照組,另外先行Trans-PRK後行眼底激光治療的25例32眼患者設為研究組,兩組均對患者術後視網膜情況、裸眼遠視力、矯正視力、屈光度、眼壓進行隨訪,觀察併分析。<br> 結果：研究組Trans-PRK 術後2 wk 及視網膜光凝後1 mo檢查,均未髮現視網膜裂孔增大,未髮現視網膜脫離,視網膜變性區範圍無擴大,程度未加深。對照組于視網膜光凝後1 mo及Trans-PRK後1 mo檢查見視網膜變性區及裂孔均穩定,未見擴大及加深。<br> 結論：閤併視網膜病變的近視患者先行Trans-PRK或者先行視網膜光凝均未對視網膜病變造成影響；對術前檢查髮現閤併視網膜病變(除視網膜脫離)的患者優先進行Trans-PRK術是安全、有效的,併且為患者爭取瞭儘快恢複裸眼視力、參加體檢的時間。
목적：탐토대술전발현합병시망막병변(제시망막탈리)적근시환자우선진행경상피준분자격광굴광성각막절삭술( transepithelial photorefractive keratectomy, Trans-PRK )굴광수술치료적안전성화료효。<br> 방법：채용준분자격광계통대46례65안술전검사발현유시망막병변(제시망막탈리외)적환자진행Trans-PRK치료,기중선행안저격광치료후행Trans-PRK적21례33안환자설위대조조,령외선행Trans-PRK후행안저격광치료적25례32안환자설위연구조,량조균대환자술후시망막정황、라안원시력、교정시력、굴광도、안압진행수방,관찰병분석。<br> 결과：연구조Trans-PRK 술후2 wk 급시망막광응후1 mo검사,균미발현시망막렬공증대,미발현시망막탈리,시망막변성구범위무확대,정도미가심。대조조우시망막광응후1 mo급Trans-PRK후1 mo검사견시망막변성구급렬공균은정,미견확대급가심。<br> 결론：합병시망막병변적근시환자선행Trans-PRK혹자선행시망막광응균미대시망막병변조성영향；대술전검사발현합병시망막병변(제시망막탈리)적환자우선진행Trans-PRK술시안전、유효적,병차위환자쟁취료진쾌회복라안시력、삼가체검적시간。
AIM: To study the safety and effectiveness of transepithelial photorefractive keratectomy ( Trans-PRK ) preferentially performed on the patients with retinopathy ( except retinal detachment ) in the preoperative examination. <br> METHODS: Forty - six patients ( 65 eyes ) with retinopathy ( except retinal detachment ) in the preoperative examination underwent Trans- PRK using VISX STAR S4 IR laser platform, Of which 25 cases ( 32 eyes) in the study group were treated by Trans-PRK before retinal photocoagulation, whereas 21 cases ( 33 eyes ) in the control group underwent retinal photocoagulation prior to Trans-PRK. Clinical outcomes of retinopathy, uncorrected visual acuity, corrected visual acuity, refraction and intraocular pressure were observed and analyzed. <br> RESULTS:After two weeks of Trans- PRK and one month of retinal photocoagulation, the examination results in the study group showed that the retinal holes were not found enlarged, and no retinal detachment occurred, the retinal pathological changes were stable and retinal degeneration area did not expanded. After one month ofretinal photocoagulation and one month of Trans-PRK, retinal degeneration areas and holes were stable, did not expand and deepen in control group. <br> CONCLUSION:Preferentially performed Trans-PRK or retinal photocoagulation on the patients with retinopathy has no impact on retinopathy. The results show that it is safe and effective to preferentially perform Trans-PRK on patients with retinopathy, and gains time for the patients to recover uncorrected visual acuity as soon as possible and participate in physical examination.
