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原发性激光光凝术治疗巨大视网膜裂孔

PRIMARY LASER PHOTOCOAGULATION FOR THE TREATMENT OF GIANT RETINAL TEARS.

作者信息

Ao Jack, Horo Saban, Farmer Lachlan, Chan Weng Onn, Gilhotra Jagjit

机构信息

South Australian Institute of Ophthalmology, Discipline of Ophthalmology and Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia.

Department of Ophthalmology, Royal Adelaide Hospital, South Australia, Australia.

出版信息

Retin Cases Brief Rep. 2018;12(4):371-374. doi: 10.1097/ICB.0000000000000509.

Abstract

PURPOSE

Laser photocoagulation has typically been used as an adjunctive treatment to pars planar vitrectomy in achieving retinopexy in the treatment of giant retinal tears. We describe three cases where the giant retinal tear was treated with laser photocoagulation alone.

METHODS

A retrospective case report of three patients with giant retinal tears who underwent primary laser photocoagulation.

RESULTS

Fundus examination up to 18 months after primary laser photocoagulation of all 3 patients revealed a flat attached retina and no significant complications.

CONCLUSION

Laser photocoagulation alone is a viable alternative treatment for giant retinal tears in the absence of significant subretinal fluid.

摘要

目的

在治疗巨大视网膜裂孔时,激光光凝通常作为辅助治疗手段,与玻璃体视网膜手术联合使用以实现视网膜固定。我们描述了3例仅采用激光光凝治疗巨大视网膜裂孔的病例。

方法

对3例接受初次激光光凝治疗的巨大视网膜裂孔患者进行回顾性病例报告。

结果

对所有3例患者初次激光光凝后长达18个月的眼底检查显示,视网膜平复且未出现明显并发症。

结论

在无明显视网膜下液的情况下,单纯激光光凝是治疗巨大视网膜裂孔的一种可行替代疗法。

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