二极管激光治疗早产儿视网膜病变后期
Diode laser treatment of posterior retinopathy of prematurity.
作者信息
Axer-Siegel R, Snir M, Cotlear D, Maayan A, Frilling R, Rosenbaltt I, Weinberger D, Kremer I, Sirota L
机构信息
Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel. seegs@
出版信息
Br J Ophthalmol. 2000 Dec;84(12):1383-6. doi: 10.1136/bjo.84.12.1383.
AIMS
To study the efficacy of infrared diode laser for the treatment of posterior retinopathy of prematurity (ROP).
METHODS
48 eyes of 25 premature babies (mean birth weight 779 (SD 127.7) g; mean gestational age 25.5 (SD 1.47) weeks) with threshold ROP in zone I and posterior zone II were treated by the indirect infrared (810 nm) diode laser. Confluent burns were applied to the avascular retina. In 18 eyes, an additional row of laser burns was added posterior to the ridge.
RESULTS
Favourable anatomical results were noted in 41 eyes (85.4%). ROP stage 5 developed in two eyes, ROP stage 4A developed in four eyes, and ROP stage 4B in one eye. Three of the eyes with stage 4A eyes were successfully buckled; the fourth was not operated on and remained demarcated by laser scars. No complications were noted.
CONCLUSION
In this series, the diode laser was found to be a safe and effective treatment for posterior ROP.
目的
研究红外二极管激光治疗早产儿后部视网膜病变（ROP）的疗效。
方法
对25例阈值ROP患儿（平均出生体重779（标准差127.7）g；平均胎龄25.5（标准差1.47）周）的48只眼进行间接红外（810nm）二极管激光治疗，对无血管视网膜进行融合性光凝。18只眼中，在嵴后额外增加一排激光光凝。
结果
41只眼（85.4%）获得了良好的解剖学结果。2只眼发展为ROP 5期，4只眼发展为ROP 4A期，1只眼发展为ROP 4B期。4只4A期眼中的3只成功进行了巩膜扣带术；第4只未手术，仍由激光瘢痕分界。未观察到并发症。
结论
在本系列研究中，发现二极管激光是治疗后部ROP的一种安全有效的方法。
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