Zaluski S, Marcil G, Sebag M
Clinique Ophtalmologique, CHU, Montpellier.
J Fr Ophtalmol. 1987;10(6-7):455-8.
Beneficial effect of cryopexy on 180 degrees to 360 degrees of avascular retina was demonstrated in 7 prematurely born infants (14 eyes) affected with advanced retinopathy of prematurity. Intravitreous new vessels were present in all eyes before treatment. The treatment of one eye was supplemented with scleral indentation. Only one of the treated eyes went on unfavourably with retrolental fibroplasia and consecutive loss of visual acuity. We believe that cryopexy, when administered promptly, when limited to the avascular zone, and when supplemented with scleral indentation in cases with important vitreous traction, is a valuable treatment with fewer risks than unchecked evolution for advanced cases of retinopathy of prematurity.
在7例患有晚期早产儿视网膜病变的早产婴儿(14只眼)中,证实了冷冻疗法对180度至360度无血管视网膜的有益效果。治疗前所有眼睛均存在玻璃体内新生血管。其中一只眼睛的治疗辅以巩膜外加压。仅1只接受治疗的眼睛出现了晶状体后纤维增生且视力持续丧失的不良情况。我们认为,对于晚期早产儿视网膜病变,若能及时进行冷冻疗法,将其局限于无血管区,并在存在重要玻璃体牵拉的病例中辅以巩膜外加压,那么这是一种有价值的治疗方法,相较于未经控制的病情进展,其风险更低。