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[早产儿视网膜病变病程中视网膜脱离的治疗]

[Treatment of retinal detachment of the course of retinopathy of prematurity].

作者信息

Prost Marek E

机构信息

Kliniki Okulistycznej Wojskowego Instytutu Medycyny Lotniczej w Warszawie.

出版信息

Klin Oczna. 2003;105(5):322-5.

Abstract

Cryo- and laser therapy of stage 3 have reduced, but not eliminated the occurrence of retinal detachment in stages 4a, 4b and 5 of ROP. In this disease the treatment of these stages is still the greatest challenge to the ophthalmologist. Therefore, the aim of this paper is to present our up-to-date possibilities of treatment of different kinds of retinal detachments in ROP, including segmental scleral buckling, encircling scleral buckling, scleral resection, vitrectomy and its modifications in ROP. Guidelines of surgery of retinal detachment in active stage 4 and 5 of retinopathy of prematurity have been described.

摘要

对3期早产儿视网膜病变(ROP)进行冷冻和激光治疗,已减少了4a、4b和5期ROP视网膜脱离的发生,但并未消除。在这种疾病中,对这些阶段的治疗仍然是眼科医生面临的最大挑战。因此,本文的目的是介绍我们目前治疗ROP中不同类型视网膜脱离的方法,包括节段性巩膜扣带术、环扎巩膜扣带术、巩膜切除术、玻璃体切除术及其在ROP中的改良术式。本文还描述了早产儿视网膜病变4期和5期活动期视网膜脱离的手术指南。

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