Georgiev N, Sheludchenko V M, Kurenkov V V
Vestn Oftalmol. 2001 Sep-Oct;117(5):20-2.
Pathological changes in the retina in myopia of 1.5-17 diopters are analyzed, based on analysis of more than 4800 cases. Detachments of the retina were responsible for 0.5% cases. Photocoagulation of the retina was carried out using 2 lasers: diode DC-3000 NIDEK (790-830 nm) and Nd-YAG Alcon (532 nm). Photorefraction operations of two types (photorefraction keratectomy and LASIK) were carried out on a Nidek EC-5000 laser. The results evidence a possibility of photorefraction operations for correction of myopia 6 months to 11 years after a previous intervention for detachment of the retina (21 operations). Visual acuity without correction was 0.69 +/- 0.08, spherical equivalent of clinical refraction 0.80 +/- 0.34. Repeated laser coagulation at the retinal periphery for blocking newly forming ruptures was needed in 14.2% cases. No relapses occurred during 3 years postoperation.
基于对4800多例病例的分析，对1.5至17屈光度近视患者视网膜的病理变化进行了分析。视网膜脱离占0.5%的病例。使用两种激光对视网膜进行光凝：二极管DC - 3000尼德克（790 - 830纳米）和钕钇铝石榴石爱尔康（532纳米）。在尼德克EC - 5000激光上进行了两种类型的光折射手术（光折射角膜切除术和准分子原位角膜磨镶术）。结果证明，在先前因视网膜脱离进行干预后6个月至11年，进行光折射手术矫正近视是可行的（21例手术）。未矫正视力为0.69±0.08，临床验光等效球镜为0.80±0.34。14.2%的病例需要在视网膜周边重复进行激光凝固以封闭新形成的裂孔。术后3年内未发生复发。
