论文部分内容阅读
目的 探讨巩膜扣带术联合氪多波长激光治疗单纯孔源性视网膜脱离的疗效、适应证及其临床意义。方法 巩膜扣带术治疗 4 7例 (47只眼 )单纯孔源性网脱 ,术中不用冷凝而待术后视网膜下液吸收后用氪多波长激光封闭裂孔 ,观察其疗效 ,对结果进行评价。结果 术后随访 2～ 30个月 ,4 7例中视网膜完全复位的 4 5例(95 .74 % ) ,术后矫正视力≥ 0 .0 5者 4 1例 (87.2 3% ) ,最佳矫正视力为 1.0。结果 巩膜扣带术联合氪多波长激光治疗单纯孔源性视网膜脱离 ,术中不用冷凝 ,简化了手术操作 ,无冷凝的相关并发症 ,术后采用氪多波长激光封闭裂孔 ,可以根据裂孔的部位及屈光介质混浊的程度选用不同波长的激光进行封孔 ,是治疗单纯孔源性网脱的有效方法之一。
Objective To investigate the curative effect, indications and clinical significance of scleral buckling combined with multi-wavelength krypton laser for rhegmatogenous retinal detachment. Methods Scleral buckling was used to treat 47 cases (47 eyes) of simple rhegmatogenous retinal detachment without condensing. After surgery, the subretinal fluid was absorbed and krypton multi-wavelength laser was used to close the fractures. The curative effect was evaluated and the results were evaluated . Results The patients were followed up for 2 to 30 months. Forty-five (95.74%) of the 47 cases were completely repaired, and 41 cases (87.2%) had corrected visual acuity ≥0.0 5 after operation. The best correction Visual acuity is 1.0. Results Scleral buckling combined with krypton multi-wavelength laser treatment of simple rhegmatogenous retinal detachment without intraoperative condensation, simplifying the surgical operation, non-condensing complications, the use of krypton laser multi-wavelength laser to close the hole, according to the site of the hole And the degree of opacity opacity of the selection of different wavelengths of laser sealing, is an effective method of treatment of pure pore-based network off.