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[激光器械手术在视网膜脱离防治中的应用。I]

[Laser instrumental surgery in prevention and treatment of retinal detachment. I].

作者信息

Ivanov A N

出版信息

Vestn Oftalmol. 2002 Jul-Aug;118(4):13-6.

Abstract

Detachment of the retina, developing in the presence of aggravating factors, and its elimination by means of an original laser surgical method became the object of this study. Visulas YAG laser (Karl Zeiss) fitted with an endolaser output was used. Coagulation energy was 0.2-0.9 Wt, YAG laser energy 0.1-9.2 mJ, up to 170 pulses. Analysis was carried out in 38 patients with subretinal adhesions, incarceration of the retina in the scleral wound, and rupture of the retina with its edge folded and elevated. All laser interventions were operations of choice and became the first stage in laser surgical treatment of detachment of the retina. Relapses occurred in 10 (27.7%) cases.

摘要

视网膜脱离在存在加重因素的情况下发生,并通过一种原创的激光手术方法予以消除,这成为了本研究的对象。使用了配备激光内输出的Visulas YAG激光(卡尔·蔡司公司)。凝固能量为0.2 - 0.9瓦,YAG激光能量为0.1 - 9.2毫焦,最多170个脉冲。对38例患有视网膜下粘连、视网膜嵌顿于巩膜伤口以及视网膜边缘折叠并抬高的视网膜破裂患者进行了分析。所有激光干预均为首选手术,且成为视网膜脱离激光手术治疗的第一阶段。10例(27.7%)出现了复发。

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