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早产儿视网膜病变的冷冻疗法:干预时机

Cryotherapy for retinopathy of prematurity: timing of intervention.

作者信息

Hindle N W

出版信息

Br J Ophthalmol. 1986 Apr;70(4):269-76. doi: 10.1136/bjo.70.4.269.

DOI:10.1136/bjo.70.4.269
PMID:3754457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1040995/
Abstract

This is a retrospective study of the results of cryotherapy for retinopathy of prematurity in 30 eyes of 17 patients from November 1976 to March 1983. The report is in the language of the international classification of retinopathy of prematurity. Ten eyes were treated at stage 4 disease, seven eyes at severe or late stage 3 'plus' disease, and 13 eyes at moderate or mid-stage 3 'plus' disease. All eyes had the cryotherapy applied to the ridge and the extraretinal fibrovascular proliferation contiguous with the ridge, some with additional treatment of the avascular retina. The results show that this method of treatment must be applied before severe stage 3 'plus' disease is established in order to prevent visual disability and minimise retrolental fibroplasia. The treatment of the selected cases of progressive moderate stage 3 'plus' disease accomplished those objectives.

摘要

这是一项回顾性研究,研究对象为1976年11月至1983年3月期间17例患者的30只眼睛的早产儿视网膜病变冷冻治疗结果。该报告采用早产儿视网膜病变国际分类的术语。10只眼睛在4期疾病时接受治疗,7只眼睛在重度或晚期3期“加”疾病时接受治疗,13只眼睛在中度或中期3期“加”疾病时接受治疗。所有眼睛均对嵴及与嵴相邻的视网膜外纤维血管增殖进行冷冻治疗,部分眼睛还对无血管视网膜进行了额外治疗。结果表明,这种治疗方法必须在重度3期“加”疾病形成之前应用,以防止视力残疾并将晶状体后纤维增生降至最低。对选定的进行性中度3期“加”疾病病例的治疗实现了这些目标。

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本文引用的文献

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J Pediatr Ophthalmol Strabismus. 1981 May-Jun;18(3):9-12. doi: 10.3928/0191-3913-19810501-04.
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Retinopathy of prematurity: an estimate of vision loss in the United States--1979.早产儿视网膜病变:1979年美国视力丧失情况估计
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Treatment of acute retrolental fibroplasia by cryopexy.冷冻疗法治疗急性晶状体后纤维增生症。
Br J Ophthalmol. 1980 Oct;64(10):758-62. doi: 10.1136/bjo.64.10.758.
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Vitamin E supplementation and the retinopathy of prematurity.维生素E补充与早产儿视网膜病变
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