Flynn W J, Carlson D W
Section of Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756-0001, USA.
Am J Ophthalmol. 1996 Sep;122(3):426-8. doi: 10.1016/s0002-9394(14)72072-0.
To determine whether laser posterior synechialysis will prevent recurrence of pigmented membranes that can form on the anterior surface of silicone intraocular lenses.
Three patients (four eyes) had posterior synechiae and silicone intraocular lens surface membranes that required long-term corticosteroid treatment. Posterior synechiae were lysed by an Nd:YAG laser (1 to 2 mJ per burst; 148 to 485 applications; total energy, 296 to 896 mJ).
All four eyes remained free of recurrence from 12 to 14 months.
Silicone intraocular lens surface membranes emanated from posterior synechiae. The Nd:YAG laser synechialysis prevented recurrence and allowed discontinuation of corticosteroids.
确定激光后粘连分离术是否能预防可在硅酮人工晶状体前表面形成的色素膜复发。
三名患者（四只眼）存在后粘连以及硅酮人工晶状体表面膜，需要长期使用皮质类固醇治疗。使用Nd:YAG激光（每次脉冲1至2 mJ；148至485次照射；总能量，296至896 mJ）溶解后粘连。
所有四只眼在12至14个月内均未复发。
硅酮人工晶状体表面膜源自后粘连。Nd:YAG激光粘连分离术可预防复发并允许停用皮质类固醇。
