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氩激光光凝术在视网膜脱离及相关易患性病变治疗中的应用

Argon laser photocoagulation in the management of retinal detachment and predisposing lesions.

作者信息

Gratton I, Gazocchi M, Simonini F, Fattori C M, Citroni M

出版信息

Lasers Surg Med. 1984;4(4):337-44. doi: 10.1002/lsm.1900040406.

DOI:10.1002/lsm.1900040406
PMID:6542963
Abstract

During the years 1979-1982 we treated by argon laser photocoagulation 863 eyes of 551 patients affected by peripheral retinal degenerations and breaks. No case of progression to retinal detachment has been registered so far. In the same period, we treated 42 patients affected by retinal detachment of different topography (three posterior pole and 39 peripheral detachments) and size (mostly limited detachments, 12 as large as a quadrant, two larger than a quadrant). In 41 of these 42 eyes, the retina is still firmly attached after a 1- to 4-year follow-up, while in one case it was necessary to proceed surgically following a relapse. While argon laser photocoagulation is certainly the first choice treatment of retinal degenerations and breaks, it also appears to be a reliable alternative to scleral buckling in the management of specific cases of retinal detachment.

摘要

在1979年至1982年期间,我们对551例患有周边视网膜变性和裂孔的患者的863只眼睛进行了氩激光光凝治疗。迄今为止,尚无进展为视网膜脱离的病例记录。在同一时期,我们治疗了42例不同部位(3例后极部和39例周边部脱离)和大小(大多为局限性脱离,12例达一个象限大小,2例大于一个象限)的视网膜脱离患者。在这42只眼中的41只,经过1至4年的随访,视网膜仍牢固附着,而在1例中,复发后需要进行手术治疗。虽然氩激光光凝无疑是视网膜变性和裂孔的首选治疗方法,但在特定的视网膜脱离病例的处理中,它似乎也是巩膜扣带术的可靠替代方法。

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