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本文报告了对390例视网膜格子样变性患者行特定检测和治疗观察并长期进行了随访,系统地总结了视网膜格子样变性的临床恃点及预后,为临床诊断提供了依据;研究发现对高度近视眼主诉有细尘状漂浮物感者,或ERGb波严重受损者,以及检测发现眼赤道直径扩张、玻璃体容积增大者提示为格子样变性裂孔的最早信息,以期监护,并及早治疗;还确认了格子样变性的好发部位,特别是危害最大的牵引性裂孔,好发在变性区的后缘及两端部,这一特征为重新评价和使用光凝技术做预防性治疗提供了理论根据。作者改变以往对病灶区做全封闭式光凝的模式,采用针对裂孔好发部位在病灶周围做半环绕式激光光凝术,面积小,密度低,并发症少,从而提高了防治效果,长期随访仅有1.3%发生视网膜脱离。
This paper reports on 390 cases of retinal lattice degeneration patients underwent specific testing and treatment of observation and long-term follow-up, systematically summarized the clinical retina lattice degeneration and prognosis, provided the basis for clinical diagnosis; study found that high myopia The main complaint of eye dust flotation floating sensory, or ERGb wave severely damaged those who detect and found that the expansion of the eye equatorial diameter, vitreous volume prompted tips for the trellis-like degeneration of the earliest information to guardianship and early treatment; also The identification of sites of plaque-like degeneration, particularly the most devastating traumatic fissures, occurring in the trailing edge and both ends of the degeneration area provides a theory for reevaluation and prophylactic treatment using photocoagulation according to. The author changed the past, the lesion area to do the whole closed photocoagulation mode, the use of the site for the occurrence of holes in the lesion around the lesion to do semi-wrap laser photocoagulation, small size, low density, fewer complications, thereby enhancing the control effect, long-term Retinal detachment occurred in only 1.3% of follow-up visits.