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目的探讨巩膜外加压术联合氩激光光凝治疗视网膜脱离的疗效。方法对2000年1月~2004年6月行巩膜外加压术后给予氩激光光凝治疗的视网膜脱离患者82例82眼临床资料进行回顾性分析。结果术后随访3~12个月,82眼中,视网膜完全复位78眼(95.1%),术后矫正视力>0.05者76眼(92.6%),最佳视力为1.0。结论将巩膜外加压术冷凝改为术后氩激光光凝,可简化术中操作,减少视网膜和脉络膜血管的损伤及术后并发症的发生,是治疗视网膜脱离的有效方法之一。
Objective To investigate the efficacy of scleral buckling combined with argon laser photocoagulation in the treatment of retinal detachment. Methods 82 patients (82 eyes) with retinal detachment treated with argon laser photocoagulation after scleral buckling surgery from January 2000 to June 2004 were retrospectively analyzed. Results All patients were followed up for 3 to 12 months. In 82 eyes, 78 eyes (95.1%) were completely restored to the retina and 76 eyes (92.6%) had corrected visual acuity after surgery. The best visual acuity was 1.0. Conclusion It is an effective method to treat retinal detachment by changing the scleral compression surgery to argon laser photocoagulation, which can simplify the intraoperative operation and reduce the damage of retinal and choroidal blood vessels and postoperative complications.