钕钇铝石榴石激光眼前节玻璃体溶解术治疗 Irvine-Gass 黄斑囊样水肿

Neodymium:YAG laser anterior vitreolysis for Irvine-Gass cystoid macular edema.

作者信息

Steinert R F, Wasson P J

机构信息

Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.

出版信息

J Cataract Refract Surg. 1989 May;15(3):304-7. doi: 10.1016/s0886-3350(89)80089-6.

DOI:10.1016/s0886-3350(89)80089-6

PMID:2732929

Abstract

Twenty-nine consecutive patients with vitreous incarceration in the wound after cataract surgery and cystoid macular edema (Irvine-Gass syndrome) were treated with Nd:YAG laser anterior vitreolysis. Fifty-five percent (55%) achieved two or more lines of stable visual improvement; 17% improved but with fluctuating levels of vision and persistent edema; 28% failed to improve, half of them because of coexisting ocular pathology. Visual improvement was achieved an average of 3.5 months after treatment. Persistent macular edema was associated with several types of anterior chamber intraocular lenses.

摘要

对29例白内障手术后伤口玻璃体嵌顿并伴有黄斑囊样水肿（ Irvine-Gass综合征）的连续患者进行了Nd:YAG激光前部玻璃体溶解术治疗。55%的患者视力稳定提高了两行或更多；17%的患者视力有所改善，但视力水平波动且水肿持续存在；28%的患者治疗失败，其中一半是由于并存眼部病变。治疗后平均3.5个月视力得到改善。持续性黄斑水肿与几种类型的前房型人工晶状体有关。