孔源性视网膜脱离早期的激光治疗临床观察

Laser coagulation on initial stage of rhegmatogenous retinal detachment

目的观察激光光凝对孔源性视网膜脱离裂孔形成早期的治疗意义。方法回顾31例(36眼)孔源性视网膜脱离患者的临床资料,在发现视网膜裂孔后即进行激光光凝,围绕裂孔行2～3排激光光凝;激光治疗失败者改作手术治疗。结果 26例单眼患病,5例双眼患病;周边视网膜裂孔26例(29眼),黄斑区裂孔5例(7眼)。周边视网膜裂孔1次激光光凝成功率62.07%(18/29眼),黄斑裂孔1次激光光凝成功28.57%(2/7眼)。随访6～14个月未见视网膜脱离。结论对部分早期的周边视网膜裂孔行激光光凝可以达到封闭裂孔避免视网膜脱离的目的,对黄斑区裂孔效果不佳。

Objective To observe the clinical effective of laser coagulation on initial stage of rhegmatogenous retinal de tachment. Methods The clinical data of 31cases（36 eyes）with rhegmatogenous retinal detachment was reviewed. Laser coagulation had done after retinal tear found, and with 2- 3 row coagulation around the tear. The surgery had been had op erated if laser coagulation failed. Results Patients with rhegmatogenous retinal detachment included 26 cases with single eye, and 5 cases with bilateral eyes, and 26 cases （ 29 eyes ） with peripheral tears, 5 cases （ 7 eyes ） with macular hole. The success rate of once laser coagulation was 62. 07% （18/29 eyes）in peripheral tear and 28. 57% （2/7 eyes）in macular hole. Retinal detachment was not found with 6 14 months follow up. Conclusion Some peripheral retinal tear might be sealed up by laser coagulation in initial stage of rhegmatogenous retinal detachment,not well for macular hole.