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氩激光光凝引起的瞳孔异常。

Pupillary abnormalities induced by argon laser photocoagulation.

作者信息

Lobes L A, Bourgon P

出版信息

Ophthalmology. 1985 Feb;92(2):234-6. doi: 10.1016/s0161-6420(85)34047-2.

DOI:10.1016/s0161-6420(85)34047-2
PMID:3982803
Abstract

Twenty-two patients who underwent panretinal argon laser ablation for proliferative diabetic retinopathy were studied for post-laser pupillary abnormalities. All 22 patients developed sector palsies of the iris sphincter. Fifteen demonstrated supersensitivity to 0.125% pilocarpine in the treated eye. Four of 12 patients developed accommodative paresis in the treated eye. Six showed light near dissociation in the treated eye. The sector palsies and associated cholinergic supersensitivity of the iris sphincter, the accommodative paresis, and light near dissociation imply that the laser treatment damaged the ocular parasympathetic innervation.

摘要

对22例因增殖性糖尿病视网膜病变接受全视网膜氩激光光凝治疗的患者进行了激光术后瞳孔异常情况的研究。所有22例患者均出现了虹膜括约肌扇形麻痹。15例患者治疗眼对0.125%毛果芸香碱表现出超敏反应。12例患者中有4例治疗眼出现调节麻痹。6例患者治疗眼表现出光近分离现象。虹膜括约肌的扇形麻痹及相关胆碱能超敏反应、调节麻痹和光近分离现象提示激光治疗损伤了眼部副交感神经支配。

相似文献

1
Pupillary abnormalities induced by argon laser photocoagulation.氩激光光凝引起的瞳孔异常。
Ophthalmology. 1985 Feb;92(2):234-6. doi: 10.1016/s0161-6420(85)34047-2.
2
Argon versus krypton panretinal photocoagulation side effects on the anterior segment.氩气与氪气全视网膜光凝对眼前节的副作用
Ophthalmologica. 1990;201(2):66-70. doi: 10.1159/000310129.
3
Red krypton and blue-green argon panretinal laser photocoagulation for proliferative diabetic retinopathy: a laboratory and clinical comparison.用于增殖性糖尿病视网膜病变的红色氪和蓝绿色氩全视网膜激光光凝术:一项实验室与临床比较研究
Trans Am Ophthalmol Soc. 1986;84:967-1003.
4
Effects of argon laser photocoagulation on rubeosis iridis and angle neovascularization.氩激光光凝术对虹膜新生血管和房角新生血管的影响。
Ophthalmology. 1980 May;87(5):400-2. doi: 10.1016/s0161-6420(80)35225-1.
5
[Comparative use of diode and argon laser for panretinal photocoagulation in diabetic retinopathy].[二极管激光与氩激光在糖尿病性视网膜病变全视网膜光凝中的对比应用]
Ophthalmologe. 1993 Oct;90(5):457-62.
6
Iris neovascularization after central retinal artery obstruction despite previous panretinal photocoagulation for diabetic retinopathy.尽管之前已对糖尿病性视网膜病变进行了全视网膜光凝治疗,但视网膜中央动脉阻塞后仍出现虹膜新生血管。
Am J Ophthalmol. 1990 Apr 15;109(4):464-8. doi: 10.1016/s0002-9394(14)74614-8.
7
Fifteen-year argon laser and xenon photocoagulation results of Bascom Palmer Eye Institute's patients participating in the diabetic retinopathy study.
Ophthalmology. 1991 Feb;98(2):125-8. doi: 10.1016/s0161-6420(91)32326-1.
8
Panretinal laser photocoagulation for proliferative diabetic retinopathy: the effect of laser wavelength on macular function.增殖性糖尿病视网膜病变的全视网膜激光光凝:激光波长对黄斑功能的影响
Br J Ophthalmol. 1991 Oct;75(10):608-10. doi: 10.1136/bjo.75.10.608.
9
Dye yellow vs. argon green laser in panretinal photocoagulation for proliferative diabetic retinopathy: a comparison of minimum power requirements.增殖性糖尿病视网膜病变全视网膜光凝中黄色染料激光与氩绿激光的比较:最低功率需求对比
Can J Ophthalmol. 1992 Aug;27(5):243-4.
10
Grand mal seizure during argon laser panretinal photocoagulation.氩激光全视网膜光凝治疗期间发生大发作癫痫。
Am J Ophthalmol. 1987 Jan 15;103(1):116-7. doi: 10.1016/s0002-9394(14)74191-1.

引用本文的文献

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Laser Therapy in the Treatment of Diabetic Retinopathy and Diabetic Macular Edema.激光疗法治疗糖尿病视网膜病变和糖尿病黄斑水肿。
Curr Diab Rep. 2021 Sep 6;21(9):35. doi: 10.1007/s11892-021-01403-6.
2
Changes in pupil size following panretinal retinal photocoagulation: conventional laser vs pattern scan laser (PASCAL).全视网膜光凝术后瞳孔大小的变化:传统激光与光栅扫描激光(PASCAL)对比
Eye (Lond). 2016 Oct;30(10):1359-1364. doi: 10.1038/eye.2016.135. Epub 2016 Jul 8.
3
Tonic Pupil and Corneal Anesthesia after Vitrectomy and Encircling Band for Retinal Detachment in an Ex-Premature Child.
一名早产患儿视网膜脱离行玻璃体切除术及环扎术后的强直性瞳孔和角膜麻醉
Case Rep Ophthalmol. 2010 Sep 29;1(2):66-70. doi: 10.1159/000321250.
4
Parasympathetic denervation of the ciliary muscle following retinal photocoagulation.视网膜光凝术后睫状肌的副交感神经去神经支配。
Trans Am Ophthalmol Soc. 1990;88:513-53.