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本文引用的文献

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Laser intrastromal keratomileusis for high myopia and myopic astigmatism.准分子激光原位角膜磨镶术治疗高度近视和近视散光。
Br J Ophthalmol. 1997 Mar;81(3):199-206. doi: 10.1136/bjo.81.3.199.
2
Keratomileusis update.角膜磨镶术最新进展。
J Cataract Refract Surg. 1996 Jun;22(5):620-3. doi: 10.1016/s0886-3350(96)80021-6.
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Excimer laser photorefractive keratectomy.准分子激光屈光性角膜切削术
Surv Ophthalmol. 1995 Sep-Oct;40(2):89-118. doi: 10.1016/s0039-6257(95)80001-8.
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A two-year experience with excimer laser photorefractive keratectomy for myopia.准分子激光屈光性角膜切削术治疗近视的两年经验。
Ophthalmology. 1993 Jun;100(6):873-82. doi: 10.1016/s0161-6420(93)31560-5.
5
The correction of high myopia using the excimer laser.使用准分子激光矫正高度近视。
Arch Ophthalmol. 1993 Dec;111(12):1627-34. doi: 10.1001/archopht.1993.01090120049021.
6
Data on the natural history of retinal detachment. Further characterization of certain unilateral nontraumatic cases.视网膜脱离自然病史的数据。某些单侧非创伤性病例的进一步特征描述。
Am J Ophthalmol. 1966 Feb;61(2):213-26. doi: 10.1016/0002-9394(66)90274-1.
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Peripheral retina in myopia. With particular reference to retinal breaks.近视眼中的周边视网膜。特别提及视网膜裂孔。
Br J Ophthalmol. 1969 May;53(5):300-6. doi: 10.1136/bjo.53.5.300.
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Long-term natural history of lattice degeneration of the retina.视网膜格子样变性的长期自然病史。
Ophthalmology. 1989 Sep;96(9):1396-401; discussion 1401-2. doi: 10.1016/s0161-6420(89)32713-8.
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Excimer laser photorefractive keratectomy. 18-month follow-up.准分子激光屈光性角膜切削术。18个月随访。
Ophthalmology. 1992 Aug;99(8):1209-19. doi: 10.1016/s0161-6420(92)31821-4.
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Retinal detachment after refractive surgery for myopia.
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准分子激光治疗后视网膜脱离

Retinal detachment following excimer laser.

作者信息

Charteris D G, Cooling R J, Lavin M J, McLeod D

机构信息

Moorfields Eye Hospital, London.

出版信息

Br J Ophthalmol. 1997 Sep;81(9):759-61. doi: 10.1136/bjo.81.9.759.

DOI:10.1136/bjo.81.9.759
PMID:9422928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1722314/
Abstract

AIM

To report the clinical presentation, surgical management, and outcome of retinal detachment following excimer laser.

METHODS

Retrospective analysis of retinal detachments observed in 11 eyes of 10 myopic patients who had previously undergone photorefractive keratectomy (PRK) or phototherapeutic keratectomy (PTK) by excimer laser.

RESULTS

Symptoms of visual loss in two eyes were initially attributed to corneal haze. In 10 of 11 eyes visualisation of the retinal detachment and causative break was possible despite mild corneal haze and optical aberrations caused by the refractive laser procedure. Retinal reattachment was achieved in all 11 eyes though one eye required four surgical interventions.

CONCLUSION

This is the first published report to describe an association between retinal detachment and previous excimer laser treatment. The association would appear to reflect the predisposition of myopes to retinal detachment. Clinicians should be aware of potential retinal pathology in patients undergoing PRK.

摘要

目的

报告准分子激光术后视网膜脱离的临床表现、手术治疗及结果。

方法

对10例近视患者的11只眼进行回顾性分析，这些患者之前接受过准分子激光屈光性角膜切削术（PRK）或光治疗性角膜切削术（PTK）。

结果

最初，两只眼的视力丧失症状被归因于角膜混浊。尽管屈光性激光手术导致轻度角膜混浊和光学像差，但11只眼中的10只眼仍可观察到视网膜脱离及病因性裂孔。11只眼均实现了视网膜复位，不过有一只眼需要进行四次手术干预。

结论

这是首篇发表的描述视网膜脱离与先前准分子激光治疗之间关联的报告。这种关联似乎反映了近视患者易患视网膜脱离的倾向。临床医生应意识到接受PRK治疗的患者存在潜在的视网膜病变。