准分子激光原位角膜磨镶术（LASIK）术前和术后视网膜病变与LASIK手术眼视网膜检查的关系
Relation of pre-LASIK and post-LASIK retinal lesions and retinal examination for LASIK eyes.
作者信息
Chan C K, Tarasewicz D G, Lin S G
机构信息
Southern California Desert Retina Consultants, PO Box 2467, Palm Springs, CA 92263, USA.
出版信息
Br J Ophthalmol. 2005 Mar;89(3):299-301. doi: 10.1136/bjo.2004.048850.
AIMS
Analysis of highly myopic eyes (mean myopia -11 D) with post-LASIK vitreoretinal complications (breaks, retinal detachment) that also had pre-LASIK vitreoretinal pathology (lattice, breaks).
METHODS
Retrospective case series.
RESULTS
67 eyes in 56 patients with pre-LASIK retinal examination developed post-LASIK vitreoretinal complications. 17 of the 67 eyes (25.4%) had pre-LASIK vitreoretinal pathology. 10 of the 17 eyes that underwent pre-LASIK prophylactic retinal treatment still developed post-LASIK lesions. They developed adjacent to pre-LASIK lesions for 15 of 17 eyes (88.2%), and outside of quadrant(s) of pre-LASIK lesions for five eyes (29.4%).
CONCLUSION
Pre-LASIK retinal examination may predict locations of certain post-LASIK retinal lesions that may develop in highly myopic eyes with pre-LASIK vitreoretinal pathology, but prophylactic treatment may not prevent all post-LASIK vitreoretinal complications.
目的
分析高度近视（平均近视度数为-11D）患者在准分子激光原位角膜磨镶术（LASIK）后发生玻璃体视网膜并发症（裂孔、视网膜脱离）且术前存在玻璃体视网膜病变（格子样变性、裂孔）的情况。
方法
回顾性病例系列研究。
结果
56例患者在LASIK术前进行视网膜检查，术后67只眼发生玻璃体视网膜并发症。67只眼中有17只眼（25.4%）术前存在玻璃体视网膜病变。17只接受术前预防性视网膜治疗的眼中有10只术后仍出现病变。17只眼中有15只眼（88.2%）的病变发生在术前病变附近，5只眼（29.4%）的病变发生在术前病变象限之外。
结论
LASIK术前视网膜检查可预测高度近视且术前存在玻璃体视网膜病变患者术后可能出现的某些视网膜病变位置，但预防性治疗可能无法预防所有LASIK术后玻璃体视网膜并发症。
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