Landers M B, Robinson C H
Am J Ophthalmol. 1977 Jul;84(1):18-23. doi: 10.1016/0002-9394(77)90318-x.
In five of seven patients treated with argon laser photocoagulation, lesions were placed around retinal breaks and in the center of the breaks directly on exposed pigment epithelium. In a sixth patient, the lesions were placed through an area of atrophic detached retina on the bare pigment epithelium. In the last patient, the lesions were placed in the center of a large outer wall hole in an area of senile retinoschisis directly on bare pigment epithelium. The white reaction to photocoagulation, previously thought to differentiate between retinoschisis and retinal detachment, was produced in the eye with a rhegmatogenous retinal detachment. The white reaction also was produced in the center of retinal breaks where the photoreceptor layer was not in contact with the retinal pigment epithelium. Photocoagulation was not a definitive test, and must be evaluated with other clinical findings.
在接受氩激光光凝治疗的7例患者中，有5例在视网膜裂孔周围以及裂孔中心直接位于暴露的色素上皮上进行了光凝。在第6例患者中，通过萎缩性视网膜脱离区域在裸露的色素上皮上进行光凝。在最后1例患者中，在老年性视网膜劈裂区域的一个大的外壁孔中心直接在裸露的色素上皮上进行光凝。先前认为可区分视网膜劈裂和视网膜脱离的光凝白色反应，在孔源性视网膜脱离的眼中出现。在光感受器层未与视网膜色素上皮接触的视网膜裂孔中心也出现了白色反应。光凝并非确定性检查，必须结合其他临床发现进行评估。
