眼底激光预防中高度近视LASIK术后视网膜脱离的临床观察

Clinical Abservation of Krypton Laser Photocoagulation Preventing Retinal Detachment after LASIK on High Myopia

目的观察LASIK术前对中高度近视患者行预防性眼底激光光凝的疗效。方法准备接受LASIK手术的中高度近视患者作详细眼底检查,直接眼底镜、间接眼底镜和三面镜检查明确有视网膜变性或(和)干性裂孔的患者共61例(112眼)行氪激光光凝治疗。结果61例(112眼)患者氪激光光凝术后变性区及裂孔封闭良好,未发生视网膜脱离。结论对明确有视网膜变性和裂孔的中高度近视患者LASIK术前行氪激光光凝是预防LASIK术后发生孔源性视网膜脱离的一种安全有效的方法。

Objective To observe the effect of krypton laser photocoagulation before LASIK on high myopia.Methods Full fundus examination on high myopic patients was performed with direct ophthalmoscopy,indirect ophthalmoscopy and three mirror contact lens.112 eyes of 61 patients with peripheral retinal degeneration or retinal hole were treated by krypton laser photocoagulation before LASIK.Results 112 eyes of 61 patients with peripheral retinal degeneration or retinal hole were stable after krypton laser photocoagulation.No retinal detachment was occurred.Conclusion The krypton laser photocoagulation is a safe and ef ective method to preventing retinal detachment for the patients with peripheral retinal degeneration or retinal hole.