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变性近视中的脉络膜新生血管形成:激光光凝的作用

Choroidal neovascularization in degenerative myopia: role of laser photocoagulation.

作者信息

Jalkh A E, Weiter J J, Trempe C L, Pruett R C, Schepens C L

机构信息

Eye Research Institute of Retina Foundation and Retina Associates, Boston, Massachusetts.

出版信息

Ophthalmic Surg. 1987 Oct;18(10):721-5.

PMID:2448722
Abstract

Laser photocoagulation of extrafoveal choroidal new vessels was performed in 19 eyes with degenerative myopia. Sixteen eyes required only one treatment. Three eyes required more than one because of incomplete closure of the new vessels after the first treatment. Choroidal new vessel formation did not recur during the post-treatment follow-up period (average 29.2 months), and a dry, atrophic photocoagulation scar was achieved in all eyes. Visual acuity improved in only two eyes (11%), stabilized in four eyes (21%), and deteriorated in 13 eyes (68%). All except two eyes showed spontaneous progressive enlargement of the atrophic photocoagulation scar, which worsened visual acuity in 13 eyes (68%).

摘要

对19只患有变性近视的眼睛进行了黄斑中心凹外脉络膜新生血管的激光光凝治疗。16只眼睛仅需一次治疗。3只眼睛由于首次治疗后新生血管未完全闭合而需要不止一次治疗。在治疗后的随访期(平均29.2个月)内,脉络膜新生血管形成未复发,所有眼睛均形成了干燥、萎缩的光凝瘢痕。仅2只眼睛(11%)视力提高,4只眼睛(21%)视力稳定,13只眼睛(68%)视力下降。除2只眼睛外,所有眼睛的萎缩性光凝瘢痕均出现自发性进行性扩大,这使13只眼睛(68%)的视力恶化。

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