摘要
本文报告了对３９０例视网膜格子样变性患者行特定检测和治疗观察并长期进行了随访，系统地总结了视网膜格子样变性的临床恃点及预后，为临床诊断提供了依据；研究发现对高度近视眼主诉有细尘状漂浮物感者，或ＥＲＧｂ波严重受损者，以及检测发现眼赤道直径扩张、玻璃体容积增大者提示为格子样变性裂孔的最早信息，以期监护，并及早治疗；还确认了格子样变性的好发部位，特别是危害最大的牵引性裂孔，好发在变性区的后缘及两端部，这一特征为重新评价和使用光凝技术做预防性治疗提供了理论根据。作者改变以往对病灶区做全封闭式光凝的模式，采用针对裂孔好发部位在病灶周围做半环绕式激光光凝术，面积小，密度低，并发症少，从而提高了防治效果，长期随访仅有１．３％发生视网膜脱离。
The paper reports 390 consecutive
patients with retinal lattice degeneration.The authors carried out the characteristic examination,
management,observation and longtime period of follow-up to the patients and systematically
summarized the clinical featuresand prognosis. It offers the clinical diagnosis for us.In this
study the earliest message of thebreaks associated with retinal lattice degeneration was
indicated when the patients with highdegree myopia complained of small dustic floaters,ERG b
wave was seriously damaged,eye′s equator diameter was discovered expandation and
vitrous volume increased.Based on thestudy it can be expected that these patients will be
monitored and treated earlier.It also de-termined the lattice degeneration common
position,especially the tracting tears with thelargest dystrophy commonly occur in the back
edge or the both end of the degenerationareas.It Provides us the theroic demonstration to renew
evaluate and use photocoagulationtechnique for preventive treatment.The authors improved the
current photocoagulationmethod from around the degeneration areas to semi-round. It has small
areas,low density andfew complications. Thus it enhances the treatment effect and prevents
retinal detachment.Only 1.3%prevalence of retinal detechment was obtained after a long time
period of fol-lowup.
出处
《河南医学研究》
CAS
1995年第2期97-101,共5页
Henan Medical Research
关键词
视网膜
格子样变性
视网膜脱离
预防
治疗
retinal lattice degeneration,retinal detachment,photocoagulation
