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1%透明质酸钠在角膜失代偿患者中联合钕:钇铝石榴石激光治疗玻璃体嵌顿的作用

The role of 1% sodium hyaluronate in treating vitreous incarceration with the neodymium:YAG laser in patients with corneal decompensation.

作者信息

Alpar J J

出版信息

J Cataract Refract Surg. 1986 Sep;12(5):502-6. doi: 10.1016/s0886-3350(86)80124-9.

DOI:10.1016/s0886-3350(86)80124-9
PMID:3772785
Abstract

Thirty-three patients who had corneal damage from the original corneal surgery and incomplete vitrectomy and who had a vitreous incarceration were divided into two groups. In one group, Nd:YAG laser therapy was performed without using a viscoelastic material in the anterior chamber. In the other group, the anterior chamber was filled with 1% sodium hyaluronate (Healon). Postoperative corneal complications were reduced in the group whose anterior chamber had been cushioned. Preoperatively present uveitis cleared upon severing the vitreous incarceration and cystoid macular edema improved in all cases except two in which the cornea decompensated six weeks and six months after the YAG intervention.

摘要

33例因初次角膜手术及不完全玻璃体切除术导致角膜损伤且存在玻璃体嵌顿的患者被分为两组。一组在前房不使用黏弹剂的情况下进行Nd:YAG激光治疗。另一组前房注入1%透明质酸钠(Healon)。前房得到缓冲的那组术后角膜并发症减少。术前存在的葡萄膜炎在切断玻璃体嵌顿后消退,除2例在YAG干预后6周和6个月角膜失代偿外,所有病例的黄斑囊样水肿均有改善。

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