分次激光联合泼尼松治疗孔源性局限性视网膜浅脱离的疗效分析

Fractional laser photocoagulation and prednisone in treatment of shallow rhegmatogenous limited retinal detachment

目的探讨分次激光联合泼尼松治疗孔源性局限性视网膜浅脱离的疗效。方法孔源性局限性视网膜浅脱离的患者42例（43眼）,分次进行视网膜激光光凝,激光光凝2～4次,间隔7～14 d,激光后予以口服泼尼松每日30 mg,连续1～4周。结果 37眼有效,总有效率为86%。局限性视网膜浅脱离范围〉3PD的视网膜裂孔9眼,治疗有效5眼,有效率为55.6%;脱离范围≤3PD视网膜裂孔34眼,治疗有效32眼,有效率为94.1%。结论分次激光联合泼尼松治疗孔源性局限性视网膜浅脱离是一种有效、安全的方法。

Objective To evaluate the effect of fractional laser photocoagulation and prednisone in treating shallow rhegmatogenous limited retinal detachment. Methods A total of 42 patients（ 43 eyes） with shallow rhegmatogenous limited retinal detachment was treated by laser photocoagulation for 2 to 4 times with an interval of 7 to 14 days and were taken oral prednisone 30 mg per day lasting 1 to 4 weeks after the laser therapy. Results Of them,37（ 86%）eyes achieved good curative effect. Among 9 eyes that the retinal detachment＇s area ranged over 3 PD（ papillary diameter）,5（ 55. 6%） eyes achieved good curative effect. Among 34 eyes that the retinal detachment＇s area ranged within 3PD,32（ 94. 1%） eyes achieved good curative effect. Conclusion Fractional laser photocoagulation in combination with prednisone is an effective and safe treatment for shallow rhegmatogenous limited retinal detachment.