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巩膜损伤:标准透热电极与改良透热电极的比较

Scleral damage: comparison of standard and modified diathermy electrodes.

作者信息

Bhatt N, Peyman G A, Karaçorlu M

机构信息

LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans 70112-2234.

出版信息

Int Ophthalmol. 1993 Oct;17(5):255-8. doi: 10.1007/BF01007792.

DOI:10.1007/BF01007792
PMID:8132403
Abstract

Full-thickness scleral diathermy using a standard electrode causes significant scleral damage and necrosis. Use of a modified (Jabbour's) diathermy electrode appears to cause minimal scleral damage. We evaluated the scleral changes following transscleral diathermy application using standard and modified diathermy electrodes to the peripheral retina and ciliary body. Twelve Dutch belted pigment rabbits were used in our experiment. Three eyes each were subjected to transscleral diathermy using standard and modified electrodes to produce chorioretinal scars and cyclodestruction. Eyes were examined with the slit lamp and indirect ophthalmoscope at weekly intervals for 4 weeks. Light and transmission electron microscopy was performed 1 hour after diathermy application in 4 animals and in the remaining 8 animals at 4 weeks. Chorioretinal scarring and ciliary body atrophy were successfully induced with both types of electrodes. However, scleral damage was less severe in eyes treated with the modified electrode as compared with the standard electrode.

摘要

使用标准电极进行全层巩膜透热疗法会导致明显的巩膜损伤和坏死。使用改良型(贾布尔氏)透热电极似乎造成的巩膜损伤最小。我们评估了使用标准和改良透热电极对周边视网膜和睫状体进行经巩膜透热疗法后巩膜的变化。我们的实验使用了12只荷兰带兔。分别用标准电极和改良电极对三只眼睛进行经巩膜透热疗法,以产生脉络膜视网膜瘢痕和睫状体破坏。每周用裂隙灯和间接检眼镜检查眼睛,持续4周。4只动物在透热疗法应用后1小时进行光镜和透射电子显微镜检查,其余8只动物在4周时进行检查。两种电极均成功诱导了脉络膜视网膜瘢痕形成和睫状体萎缩。然而,与标准电极相比,用改良电极治疗的眼睛巩膜损伤较轻。

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本文引用的文献

1
Scleral damage in diathermy.透热疗法导致的巩膜损伤。
Am J Ophthalmol. 1970 May;69(5):754-62. doi: 10.1016/0002-9394(70)93417-3.
2
Scleral changes during diathermy application. Influence of electrode type.透热疗法应用过程中的巩膜变化。电极类型的影响。
Arch Ophthalmol. 1970 Jun;83(6):752-9. doi: 10.1001/archopht.1970.00990030752015.
3
Current management of retinal detachment: progress or chaos?视网膜脱离的当前治疗方法:是进步还是混乱?
Ann Ophthalmol. 1971 Jan;3(1):21-41.
4
Cryotherapy enhances intravitreal dispersion of viable retinal pigment epithelial cells.冷冻疗法可增强活体内视网膜色素上皮细胞在玻璃体内的扩散。
Arch Ophthalmol. 1985 Mar;103(3):434-6. doi: 10.1001/archopht.1985.01050030130038.
5
Scleral indentation following cryotherapy and repeat cryotherapy enhance release of viable retinal pigment epithelial cells.冷冻疗法及重复冷冻疗法后的巩膜压陷可增强存活视网膜色素上皮细胞的释放。
Retina. 1986 Summer-Fall;6(3):176-8. doi: 10.1097/00006982-198600630-00008.
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Transscleral and transconjunctival diathermy.经巩膜和经结膜透热疗法。
Retina. 1989;9(2):127-30. doi: 10.1097/00006982-198909020-00011.
7
Scleral bursting strength. Results after treatment with ruby laser, cryotherapy, or diathermy.巩膜破裂强度。红宝石激光、冷冻疗法或透热疗法治疗后的结果。
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