Gao Y B
Department of Ophthalmology, China-Japan Friendship Hospital, Beijing.
Zhonghua Yan Ke Za Zhi. 1990 Nov;26(6):352-4.
From 1985 to 1987, the authors performed Nd:YAG laser vitreolysis in 20 eyes with vitreous membranes. The average power used was 27 mJ, and the maximum was 65 mJ. 18 eyes with vitreous strands were relieved or partially relieved. 2 eyes with floating vitreous membranes were not helped. Vision was improved in 11 eyes, unchanged in 8 eyes, and worsened in 1 eye. The complications included local opacification of the crystalline lens in 2 eyes, retinal hemorrhage in 2 eyes, and retinal hole in 1 eye. It was concluded that YAG laser was useful for lysis of organized vitreous membranes near the optical axis of the eye, and the effect should be good with appropriate contact lenses and proper selection of candidates for the operation.
1985年至1987年期间,作者对20例伴有玻璃体膜的患者实施了Nd:YAG激光玻璃体溶解术。平均使用功率为27mJ,最大功率为65mJ。18例伴有玻璃体条索的患者病情得到缓解或部分缓解。2例伴有漂浮玻璃体膜的患者未见好转。11例患者视力提高,8例患者视力不变,1例患者视力下降。并发症包括2例晶状体局部混浊、2例视网膜出血和1例视网膜裂孔。得出的结论是,YAG激光对眼视轴附近的机化玻璃体膜溶解有效,使用合适的接触镜并适当选择手术患者,效果应该良好。