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本文报告66例68眼经药物治疗无效反复发作、在荧光造影下有荧光素渗漏点,证实为视网膜神经上皮剥离的中浆患者,在眼底镜观察下用红宝石激光进行光凝治疗。激光能量为0.01—0.05J,光斑直径为150μm。经4年余的随访观察,疗效显著,治愈率达100％,平均治疗日37.8天,经激光光凝一次治愈者61眼(89.7％),二次治愈者6眼(8.8％),三次治愈者1眼(1.4％)。无一例复发,未发生任何合并症。我们认为激光光凝治疗中浆,不仅能恢复视力,而且能缩短病程,又能防止复发,实为一疗效肯定的治疗方法。
This article reports 66 cases of 68 eyes were repeatedly treated by drug treatment ineffective, fluorescein leakage point under fluoroscopic imaging confirmed retinal nerve epithelial stripping in patients with pulp in the fundus under the ruby laser photocoagulation treatment. The laser energy is 0.01-0.05 J and the spot diameter is 150 μm. After more than 4 years’ follow-up, the curative effect was remarkable. The cure rate was 100% and the average treatment day was 37.8 days. There were 61 eyes (89.7%) once cured by laser photocoagulation, 6 eyes (8.8%) after second cure and three times cured 1 eye (1.4%). No recurrence, no complications occurred. We believe that laser photocoagulation in the treatment of pulp, not only to restore vision, but also shorten the course of the disease, but also to prevent recurrence, in fact, a positive treatment effect.