S.M. Kirov Military Medical Academy, St. Petersburg, Russia.
Multidisciplinary Center for Laser Medicine, Chelyabinsk, Russia.
Vestn Oftalmol. 2021;137(1):46-52. doi: 10.17116/oftalma202113701146.
To evaluate the first outcomes of non-contact navigated laser retinopexy for peripheral tears and rhegmatogenous degenerations of the retina.
This prospective single-center interventional pilot study included 58 patients (68 eyes), among which 19 males and 39 females aged 47.5±16.9 years with peripheral retinal degenerations and symptomatic retinal tears who received non-contact laser retinopexy with the Navilas 577s navigated laser system and non-contact PRP widefield objective. All patients (68 eyes) underwent laser treatment for the following disorders: horseshoe tear in 13 eyes, retinal hole in 11 eyes, operculated retinal hole in 3 eyes, lattice degeneration in 19 eyes, snail track degeneration in 1 eye, vitreoretinal tufts in 16 eyes, and progressing bullous retinoschisis in 5 eyes. Pain intensity was assessed using a four-point verbal rating scale.
All patients were followed up for 5 to 21 months (9.0±3.3 months on average). Stable condition of the retina was observed in 65 cases (95.5%). In 3 eyes (4.4%), newly formed retinal tears prompted additional laser treatment: horseshoe tear in 2 eyes and retinal hole in 1 eye. The mean pain score during non-contact navigated laser retinopexy was 0.9±0.5. No complications associated with laser treatment were observed.
Non-contact navigated laser retinopexy performed with the Navilas 577s navigated laser system is a safe and well-tolerated procedure with effectiveness comparable to conventional laser retinopexy.
评估非接触式导航激光视网膜裂孔外路修复术治疗周边视网膜裂孔和孔源性视网膜变性的初步效果。
这是一项前瞻性、单中心的干预性试点研究，共纳入 58 例（68 只眼）患者，其中男性 19 例，女性 39 例，年龄 47.5±16.9 岁，均患有周边性视网膜变性和有症状的视网膜裂孔，接受了非接触式导航激光视网膜裂孔外路修复术，使用 Navilas 577s 导航激光系统和非接触式 PRP 广角镜。所有患者（68 只眼）均因以下疾病接受激光治疗：马蹄形裂孔 13 只眼，视网膜裂孔 11 只眼，盖孔视网膜裂孔 3 只眼，格子状变性 19 只眼，蜗牛迹样变性 1 只眼，玻璃体视网膜纤维束 16 只眼，进行性大疱性视网膜劈裂 5 只眼。采用四点口述评分法评估疼痛强度。
所有患者均随访 5 至 21 个月（平均 9.0±3.3 个月）。65 例（95.5%）患者视网膜状况稳定。3 只眼（4.4%）新出现视网膜裂孔，需追加激光治疗：马蹄形裂孔 2 只眼，视网膜裂孔 1 只眼。非接触式导航激光视网膜裂孔外路修复术过程中的平均疼痛评分为 0.9±0.5。未观察到与激光治疗相关的并发症。
使用 Navilas 577s 导航激光系统进行的非接触式导航激光视网膜裂孔外路修复术是一种安全且耐受良好的方法，其有效性与传统激光视网膜裂孔外路修复术相当。
