532nm激光光凝治疗视网膜前出血的临床观察

发布时间：2019-01-10 19:37

【摘要】：目的探讨532 nm激光光凝治疗视网膜前出血的临床疗效。方法收集我院2010年1月至2013年10月确诊为视网膜前出血的患者13例(13眼),对其临床资料进行回顾性分析。8眼行激光爆破模式引流失败,改行激光光凝模式治疗;5眼视网膜前出血病程超过2周者直接行激光光凝模式治疗。所有患者均接受视网膜激光光凝模式治疗1~2次,术后随访1个月,观察视力、眼底彩照及并发症情况。结果接受激光治疗的13眼患者,6眼(46.2%)行1次视网膜激光光凝术、7眼(53.8%)行2次视网膜激光光凝术。所有病例经治疗后出血均明显吸收,平均吸收时间18.92 d;视力都有不同程度提高,1个月后随访视力平均提高6.0行。视网膜前出血吸收后激光光凝处未遗留激光斑痕迹,亦无色素增生,所有病例无其他激光并发症发生。结论 532 nm激光光凝模式治疗视网膜前出血简单实用、安全有效,且可重复实施,在激光引流视网膜前出血失败后或对于病程较长者可作为有效治疗手段。
[Abstract]:Objective to investigate the clinical effect of 532nm laser photocoagulation in the treatment of preretinal hemorrhage. Methods from January 2010 to October 2013, 13 patients (13 eyes) with preretinal hemorrhage were collected and their clinical data were retrospectively analyzed. 5 eyes with preretinal hemorrhage were treated directly with laser photocoagulation for more than 2 weeks. All the patients were treated with retinal laser photocoagulation for 1 and 2 times and followed up for 1 month to observe the visual acuity, fundus color and complications. Results among 13 eyes treated with laser, 6 eyes (46.2%) were treated with retinal laser photocoagulation and 7 eyes (53.8%) with retinal laser photocoagulation. The average absorption time was 18.92 days, the visual acuity was improved in varying degrees, and the visual acuity was improved by 6.0 lines after 1 month follow-up. There were no laser spots or pigmentation in laser photocoagulation after preretinal hemorrhage absorption. No other laser complications occurred in all cases. Conclusion the method of laser photocoagulation for the treatment of preretinal hemorrhage is simple, practical, safe and effective, and can be repeated. It can be used as an effective treatment method after the failure of laser drainage of retinal hemorrhage or the longer course of disease.
【作者单位】：肇庆医学高等专科学校;
【分类号】：R779.63

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