Kain H L
Arch Ophthalmol. 1984 Apr;102(4):612-5. doi: 10.1001/archopht.1984.01040030484032.
A technique for examining chorioretinal adhesion in vitro investigated the strength of the adhesion resulting from photocoagulation. The adhesion was reduced only within the first days following photocoagulation, returned to normal by the third day and became enhanced at the fourth day, much earlier than previously supposed. Optimal adhesion and enhanced adhesion resulted only when the coagulation intensities used were sufficient to produce clearly visible lesions that became pigmented subsequently; second, best adhesion was produced with spot-diameters of 200 microns and greater; third, even under optimal coagulation conditions, single barriers were not able to resist extensive forcing, even when the exposures were confluent; fourth, only double barriers, consisting of two rows of exposures, were consistently able to withstand prolonged forcing. The best treatment for retinal tears is a double barrier of large, high-intensity coagulation spots, which affords enhanced adhesion after four days.
一种用于体外检查脉络膜视网膜粘连的技术研究了光凝导致的粘连强度。粘连仅在光凝后的头几天内降低，到第三天恢复正常，并在第四天增强，比之前认为的要早得多。只有当使用的凝固强度足以产生随后会色素沉着的清晰可见病变时，才会产生最佳粘连和增强粘连；其次，直径为200微米及以上的光斑产生的粘连最佳；第三，即使在最佳凝固条件下，单个屏障也无法抵抗广泛的外力，即使曝光是连续的；第四，只有由两排曝光组成的双屏障能够持续承受长时间的外力。视网膜裂孔的最佳治疗方法是大的、高强度凝固光斑组成的双屏障，四天后可增强粘连。
