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[玻璃体视网膜手术中激光技术的发展(文献综述)]

[The development of laser technologies in vitreoretinal surgery (publications review)].

作者信息

Yusef Yu N, Petrachkov D V, Korobov E N

机构信息

The Federal State Budget Scientific Institution "The Research Institute of Eye Diseases", 119021, Moscow, Russia.

The Federal State Budget Scientific Institution "The Research Institute of Eye Diseases", 119021, Moscow, Russia,

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023 Mar;31(2):210-214. doi: 10.32687/0869-866X-2023-31-2-210-214.

Abstract

The article presents review of scientific publications on development of laser treatment methods in vitreoretinal surgery. The use of photo-therapy in medicine dates back to ancient times, when people began to use sunlight as treatment of various diseases. The heyday of photo-therapy falls on the second half of the XIX century, which was associated with the invention of first electric lamps. In 1960, T. Maiman developed the world's first laser, revolutionizing precision and control of light delivery. This was the beginning of heyday of laser surgery primarily in ophthalmology, where potential of lasers was instantly recognized. The subsequent discovery of argon laser in 1964 by W. Bridges (USA) marked new era in retinal photo-coagulation. Then new types of lasers with various systems of delivering laser radiation appeared that significantly expanded range of application of laser technologies in ophthalmology and vitreoretinal surgery. Currently, the lasers are applied in oculoplasty, refractive and corneal surgery, in laser support of phacoemulsification of cataract, in treatment of glaucoma, in laser coagulation of retina and thermotherapy. In vitreoretinal surgery laser technologies remain at the level of the XX century. Thus, they are still applied only for endolaser coagulation of retina. And this despite the fact that there is immense potential for applying lasers as "laser scalpel" to remove vitreous humor, epiretinal fibrosis, retinotomy and choroidotomy.

摘要

本文对玻璃体视网膜手术中激光治疗方法的科学出版物进行了综述。光疗法在医学中的应用可追溯到古代,当时人们开始利用阳光治疗各种疾病。光疗法的鼎盛时期是19世纪下半叶,这与第一盏电灯的发明有关。1960年,T. 梅曼发明了世界上第一台激光,彻底改变了光传输的精度和控制。这是激光手术鼎盛时期的开端,主要是在眼科领域,激光的潜力立即得到了认可。1964年,美国的W. 布里奇斯发现了氩激光,这标志着视网膜光凝术进入了一个新时代。随后出现了具有各种激光辐射传输系统的新型激光器,显著扩大了激光技术在眼科和玻璃体视网膜手术中的应用范围。目前,激光应用于眼部整形手术、屈光和角膜手术、白内障超声乳化的激光辅助手术、青光眼治疗、视网膜激光凝固和热疗。在玻璃体视网膜手术中,激光技术仍停留在20世纪的水平。因此,它们仍然仅用于视网膜内激光凝固。尽管如此,将激光用作“激光手术刀”来切除玻璃体、视网膜前纤维化、视网膜切开术和脉络膜切开术仍具有巨大的潜力。

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