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调Q钕:钇铝石榴石激光玻璃体手术

Q-switched neodymium: YAG laser surgery of the vitreous.

作者信息

Little H L, Jack R L

出版信息

Graefes Arch Clin Exp Ophthalmol. 1986;224(3):240-6. doi: 10.1007/BF02143063.

DOI:10.1007/BF02143063
PMID:3754829
Abstract

Fifty-nine eyes underwent vitreous surgery (vitreolysis) with the Q-switched Nd: YAG laser. This was used to cut vitreoretinal bands and membranes in 16 eyes and to clear persistent vitreous opacities in 25 eyes. The use of appropriate specialized contact lenses and modification of the standard slit-lamp delivery system were essential for vitreous YAG laser surgery. Successful results occurred in eyes where the target tissues were located at distances greater than 2 mm from the crystalline lens and the retina. Vision was improved in 18 eyes, unchanged in 40 eyes, and worse in 1. Complications included focal opacities of the crystalline lens in 5 eyes, retinal holes with detachment in 1 eye, and minor retinal hemorrhages in 4. Methods of preventing complications are discussed.

摘要

59只眼睛接受了调Q Nd:YAG激光玻璃体手术(玻璃体溶解术)。其中16只眼睛用于切割玻璃体视网膜条索和膜,25只眼睛用于清除持续性玻璃体混浊。玻璃体YAG激光手术中,使用合适的专用接触镜和改良标准裂隙灯发射系统至关重要。当目标组织位于距晶状体和视网膜大于2毫米的距离时,手术取得成功。18只眼睛视力改善,40只眼睛视力不变,1只眼睛视力变差。并发症包括5只眼睛晶状体出现局灶性混浊,1只眼睛出现视网膜裂孔伴脱离,4只眼睛出现少量视网膜出血。文中讨论了预防并发症的方法。

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本文引用的文献

1
Use of the neodymium-YAG laser to open the posterior capsule after lens implant surgery: a preliminary report.钕钇铝石榴石激光在晶状体植入术后打开后囊膜的应用:初步报告。
J Am Intraocul Implant Soc. 1980 Oct;6(4):352-4. doi: 10.1016/s0146-2776(80)80036-x.
2
Ocular damage from multiple-pulse laser exposures.多脉冲激光照射造成的眼部损伤。
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3
Clinical studies on the efficiency of high power laser radiation upon some structures of the anterior segment of the eye. First experiences of the treatment of some pathological conditions of the anterior segment of the human eye by means of a Q-switched laser system.
评价新型 Q 开关 Nd:YAG 激光治疗黄斑前出血的疗效。
BMC Ophthalmol. 2023 Apr 7;23(1):146. doi: 10.1186/s12886-023-02876-7.
4
The effectiveness of laser vitreolysis for vitreous floaters in posterior vitreous detachment.激光玻璃体消融治疗后脱离性玻璃体混浊的有效性。
Indian J Ophthalmol. 2022 Aug;70(8):3026-3032. doi: 10.4103/ijo.IJO_3198_21.
5
Safety and Efficacy of YAG Laser Vitreolysis for the Treatment of Vitreous Floaters: An Overview.YAG 激光玻璃体液化治疗飞蚊症的安全性和疗效:综述。
Adv Ther. 2020 Apr;37(4):1319-1327. doi: 10.1007/s12325-020-01261-w. Epub 2020 Feb 21.
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Cavitation induced by shock wave focusing in eye-like experimental configurations.在类似眼睛的实验配置中,冲击波聚焦引起的空化现象。
Biomed Opt Express. 2019 Dec 23;11(1):432-447. doi: 10.1364/BOE.11.000432. eCollection 2020 Jan 1.
7
Reported Complications Following Laser Vitreolysis.激光玻璃体溶解术后报告的并发症。
JAMA Ophthalmol. 2017 Sep 1;135(9):973-976. doi: 10.1001/jamaophthalmol.2017.2477.
8
Rapid Cataract Progression after Nd:YAG Vitreolysis for Vitreous Floaters: A Case Report and Literature Review.钕:钇铝石榴石玻璃体溶解术治疗玻璃体混浊后白内障快速进展:病例报告及文献综述
Case Rep Ophthalmol. 2017 May 29;8(2):321-325. doi: 10.1159/000477159. eCollection 2017 May-Aug.
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Vitrectomy for primary symptomatic vitreous opacities: an evidence-based review.原发性症状性玻璃体混浊的玻璃体切除术:一项基于证据的综述。
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Int Ophthalmol. 1981 May;3(3):129-39. doi: 10.1007/BF00130696.
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YAG laser treatment of cystoid macular edema.YAG激光治疗黄斑囊样水肿。
Am J Ophthalmol. 1983 May;95(5):589-92. doi: 10.1016/0002-9394(83)90375-6.
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