二极管激光光凝术治疗早产儿视网膜病变进展期的视网膜血管病变
Diode laser photocoagulation to the vascular retina for progressively advancing retinopathy of prematurity.
作者信息
O'Keefe M, Burke J, Algawi K, Goggin M
机构信息
Department of Ophthalmology, Children's Hospital, Dublin, Ireland.
出版信息
Br J Ophthalmol. 1995 Nov;79(11):1012-4. doi: 10.1136/bjo.79.11.1012.
Abstract
AIMS
To estimate the effectiveness of diode laser photocoagulation of the retina posterior to the ridge in eyes with retinopathy of prematurity (ROP).
METHODS
Diode laser photocoagulation was applied posterior to the fibrovascular ridge in stage 4a ROP in six eyes of four infants and in advancing stage 3+ in two eyes of one infant. Seven eyes had previously been unsuccessfully treated with diode laser photocoagulation anterior to the ridge.
RESULTS
Six eyes of four children had total regression, two eyes of two children had flat maculae with residual peripheral tractional detachment and maintained vision.
CONCLUSION
These preliminary results indicate that diode laser photocoagulation posterior to the ridge may be a useful treatment in late stage 3 and stage 4A ROP following failed laser treatment to the avascular retina in threshold stage 3 disease.
摘要
目的
评估二极管激光光凝术对早产儿视网膜病变（ROP）患儿视网膜嵴后方区域的治疗效果。
方法
对4例婴儿的6只眼睛进行4a期ROP的视网膜嵴后方二极管激光光凝治疗，对1例婴儿的2只眼睛进行进展期3+期的治疗。7只眼睛此前在视网膜嵴前方进行二极管激光光凝治疗未成功。
结果
4例儿童的6只眼睛完全消退，2例儿童的2只眼睛黄斑变平，伴有周边残留牵拉性视网膜脱离，但保留了视力。
结论
这些初步结果表明，对于阈值期3型疾病无血管视网膜激光治疗失败后的晚期3期和4A期ROP，视网膜嵴后方的二极管激光光凝术可能是一种有效的治疗方法。
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