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目的:探讨玻璃体切除手术后激光治疗的临床规律。方法:回顾分析1990~1996年在我院施行玻璃体切除手术后接受激光治疗患者的临床资料。结果:251例患者255只眼接受激光治疗,占同期玻璃体切除手术患者的22.9%。其中因眼底血管性疾病需要针对原发病补充激光治疗者占57.3%;因视网膜裂孔、可疑裂孔或高度危险的视网膜变性等原因术后需要激光治疗者占37.6%;需施行YAG激光虹膜造孔术的患者约占4.3%。全部激光治疗患者中术后视力提高者209只眼,不变者34只眼,下降者12只眼。结论:在开展玻璃体视网膜手术的同时应该配备可靠的激光治疗手段和技术。激光治疗可提高视网膜复位手术的成功率,减少和防治血管性疾病再出血的危险性
Objective: To investigate the clinical rules of laser treatment after vitrectomy. Methods: The clinical data of patients undergoing laser treatment after vitrectomy in our hospital from 1990 to 1996 were retrospectively analyzed. Results: 255 eyes of 251 patients underwent laser treatment, accounting for 22.9% of patients undergoing vitrectomy. Among them, retinal vascular diseases need to be treated with 57.3% of primary laser therapy; 37.6% of them need laser treatment due to retinal breaks, suspicious holes or high risk of retinal degeneration; YAG Laser iridectomy accounts for about 4.3% of patients. All patients with laser treatment of postoperative visual acuity in 209 eyes, unchanged in 34 eyes, decreased in 12 eyes. Conclusion: Vitreoretinal surgery should be equipped with reliable laser treatment methods and techniques. Laser treatment can improve the success rate of retinal reattachment surgery, reduce and prevent the risk of vascular disease rebleeding