DIAGNOSIS AND TREATMENT FOR DEGENERATIVE RETINOSCHISIS OF MEDIUM TO HIGH MYOPIA IN YOUNG ADULTS PRIOR TO LASER-ASSISTED IN SITU KERATOMILEUSIS SURGERY
DIAGNOSIS AND TREATMENT FOR DEGENERATIVE RETINOSCHISIS OF MEDIUM TO HIGH MYOPIA IN YOUNG ADULTS PRIOR TO LASER-ASSISTED IN SITU KERATOMILEUSIS SURGERY
摘要
Objective To discuss the characteristics of degenerative retinoschisis in young adults with medium to high myopia prior to laser-assisted in situ keratomileusis(LASIX) surgery and the significance of preventive photocoagulation.Methods A total of 32 eyes in 19 patients suffering from myopia combined with degenerative retinoschisis were included.The mean best-corrected visual acuity was 0.82±0.13 and the mean spherical equivalent of the subjective refraction was -(6.50±3.98) Diopter. The patients underwent preventive photocoagulation 1 month before the laser surgery for myopia.Results All the eyes that received preventive photocoagulation for retinoschisis had no further progression or retinal detachment during 4-year period of follow-up.Conclusion The degenerative retinoschisis in young adults should be recognized and treated with preventive photocoagulation.This may prevent further damage of visual field and other complications of slowly progressive retinoschisis after LASIK surgery.
Objective To discuss the characteristics of degenerative retinoschisis in young adults with medium to high myopia prior to laser-assisted in situ keratomileusis(LASIX) surgery and the significance of preventive photocoagulation.Methods A total of 32 eyes in 19 patients suffering from myopia combined with degenerative retinoschisis were included.The mean best-corrected visual acuity was 0.82±0.13 and the mean spherical equivalent of the subjective refraction was -(6.50±3.98) Diopter. The patients underwent preventive photocoagulation 1 month before the laser surgery for myopia.Results All the eyes that received preventive photocoagulation for retinoschisis had no further progression or retinal detachment during 4-year period of follow-up.Conclusion The degenerative retinoschisis in young adults should be recognized and treated with preventive photocoagulation.This may prevent further damage of visual field and other complications of slowly progressive retinoschisis after LASIK surgery.
参考文献9
-
1Hoerauf H,Joachimmeyer E,Laqua H.Senile schisis detachment with posterior outer layer breaks[].Retina.2001
-
2Byer,NE.Long-term natural history study of senile retinoschisis with implications for management[].Ophthalmology.1986
-
3Sulonen JM,Wells CG,Barricks ME,et al.Degenerative retinos chisis with giant outer layer breaks and retinal detachment[].American Journal of Ophthalmology.1985
-
4Byer NE.Perspectives on the manag ement of the complications of senile retinoschisis[].Eye.2002
-
5Yassur Y,Feldberg R,Axer-Siegel R,et al.Argon laser treatment of senile retinoschisis[].The British Journal of Ophthalmology.1983
-
6Ambler JS,Gass JD,Gutman FA.Symptomatic retinoschisisdetachment involving the macula[].American Journal of Ophthalmology.1991
-
7Landa G,Shirkey BL,Garcia PM,et al.Acquired senile retinoschisis of the peripheral retina imaged by spectral domain optical coherence tomography:a case report[].European Journal.2010
-
8Lincoff H,Kreissig I,Uram D.Minor surgery for the repair of retinal detachment emanating from retinoschisis[].Acta Ophthalmologica Scandinavica.2009
-
9Johnson DL,Nieto JC,Ip MS.Retinal detachment due to an outer retinal tear following laser prophylaxis for retinoschisis[].Archives of Ophthalmology.2008
-
1邹红,黎蕾.变性性视网膜劈裂[J].国外医学（眼科学分册）,2004,28(6):404-407. 被引量：2
-
2邵倩,陆鸣冈,扈家岩.准分子激光原位角膜磨镶术治疗低、中、高度近视[J].镇江医学院学报,2000,10(3):468-469.
-
3杜新华,杨亚波,姚克,夏文琴.LASIK治疗近视后切削中心的角膜地形图观察[J].中国实用眼科杂志,2000,18(9):565-567. 被引量：11
-
4赵晨,张琦,赵培泉.先天性视网膜劈裂发生严重并发症的手术疗效观察[J].国际眼科杂志,2013,13(10):2054-2056. 被引量：4
-
5孟觉天,袁南荣,王丹梅,庄云,彭颖.准分子激光原位角膜磨镶术治疗高度近视[J].南京医科大学学报（自然科学版）,1999,19(5):412-414.
-
6陈跃国,朱秀安,刘卫华.准分子激光原位角膜磨镶术治疗中高度远视的疗效观察[J].中华眼科杂志,1999,35(6):456-458. 被引量：13
-
7廉井财,叶纹,周德佑,王康孙.LASIK治疗远视眼的初步结果分析[J].眼科新进展,2000,20(1):24-26. 被引量：7
-
8王小艺,钟凯人,丘少杰.LASIK治疗重度近视眼疗效观察[J].国际医药卫生导报,2001,7(08C):68-68.
-
9姚辉,徐兆宏,权菊玲.LASIK术后感染性角膜炎相关因素分析[J].临床眼科杂志,2011,19(2):184-184.
-
10G.Carella.THE OHTS STUDY: WE CAN PREVENT GLAUCOMA PROGRESSION WITH A MODERATE IOP REDUCTION[J].国际眼科杂志,2003,3(1):102-102.
