摘要
目的:了解准分子激光原位角膜磨镶术(LASIK)术前初诊患者视网膜病变的类型和程度,明确手术适应证选择,术前给予相应处理,进一步提高手术安全性。方法:对LASIK术前初诊4248眼屈光度-0.50D～-18.00D,散光≤6.00D的近视患者散瞳三面镜检查眼底,详细绘图记录检查结果,并给予相应处理,对实施LASIK手术者随访10～20mo。结果:被检4248眼中,发现各种视网膜变性778眼(18.31%);其中格子样变性60眼(1.41%),霜样变性432眼(10.17%),囊样变性72眼(1.69%),薄变22眼(0.52%),有两种以上混合变性的71眼(1.67%),视网膜增殖121眼(2.85%),周边视网膜干性裂孔71眼(1.67%)。其中严重视网膜变性65眼,干性视网膜裂孔71眼行氩激光光凝治疗,视网膜脱离9眼,4眼视网膜脱离需行手术,5眼局限性脱离行光凝.所有LAS1K术后患者均未发现眼底病变加重或发生视网膜脱离。结论:LASIK术前详细了解视网膜病变是必要的,它能够为明确手术适应证,把握手术时机提供重要的参考依据。
AIM： To investigate the type and degree of retinopathy before LASIK, definite the selection of operative indication in order to improve the security.
METHODS： The fundus of 4248 eyes, whose dioptre was -0.50D to -18.00D, astigmatism was ≤6.00D, were examined by three-mirror contact lens under the condition of mydriasis. The results were recorded and the patients were given corresponding treatment. The follow-up time was 10-20 months,
RESULTS. Various retinal degeneration were found in 778 eyes （18.31%）, including lattice degeneration in 60 eyes （ 1.41% ）, frosted degeneration in 432 eyes （ 10.17% ）, cystoid degeneration in 72 eyes （1.69%）, retina thinning in 22 eyes （0.52%） and two or more kinds of degenerations in 71 eyes （1.67%）. There were 121 eyes （2.85%） presented retinal proliferation, of them, 65 eyes with serious retinal degeneration and 71 eyes with peripheral retinal holes were treated by Argon laser photocoa-gulation. Nine cases were retinal detachment, in which, 4 cases needed operation and 5 cases with localized detach- ment underwent photocoagulation. Postoperatively, all eyes were not presented lesions progressing or retinal detachment.
CONCLUSION： It is necessary to know the retinopathy before operation, which can help us to clear the operative indication and grasp the operation opportunity.
出处
《国际眼科杂志》
CAS
2008年第11期2346-2347,共2页
International Eye Science
