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目的 观察眼内激光在玻璃体切除术中治疗视网膜病变 ,封闭视网膜裂孔的作用。方法 回顾性分析 5 6例 (5 6眼 )玻璃体切除手术 ,病种有增殖性糖尿病性视网膜病变、视网膜静脉周围炎、视网膜静脉阻塞、外伤性玻璃体出血 (共 33例 )以及复杂性视网膜脱离 (2 3例 ) ,在术中施行了眼内光凝 ,封闭裂孔或光凝视网膜新生血管区及无灌注区。结果 复杂性视网膜脱离 2 3例 ,视网膜复位 19例 ;其余 33例均手术成功。结论 眼内激光是治疗多种视网膜病变的有效方法 ,是玻璃体切除手术中一个重要步骤。
Objective To observe the effect of intraocular laser in the treatment of retinopathy during vitrectomy and the closure of retinal breaks. Methods Retrospective analysis of 56 cases (56 eyes) of vitrectomy surgery, the disease was proliferative diabetic retinopathy, retinal vein inflammation, retinal vein occlusion, traumatic vitreous hemorrhage (33 cases) and complicated retinal detachment 23 cases), intraoperative photocoagulation, closed hole or photocoagulation of retinal neovascularization and no perfusion area. Results The complexity of retinal detachment in 23 cases, retinal reattachment in 19 cases; the remaining 33 cases were successful. Conclusion Intraocular laser is an effective method for the treatment of multiple retinopathy and is an important step in vitrectomy.