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.
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.
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。
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