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激光光凝辅助角膜原位磨镶术前眼底病变分析及治疗
引用本文:陆漱玉,廉井财,薛劲松,王正英,陈兵,周建强.激光光凝辅助角膜原位磨镶术前眼底病变分析及治疗[J].眼科,2001,10(4):220-222.
作者姓名:陆漱玉  廉井财  薛劲松  王正英  陈兵  周建强
作者单位:1. 常州市广化医院眼科中心江苏?常州 213001
2. 上海第二医科大学附属瑞金医院眼科
3. 常州市广化医院眼科中心江苏 常州 213001
摘    要:目的探讨近视LASIK术前眼底病变及治疗方法.方法对385例(721只眼)LASIK术前患者行散瞳眼底三面镜检查并作详细眼底记录.结果发现各种视网膜变性136只眼(18.86%),视网膜干性裂孔16只眼(2.22%),亚临床视网膜脱离(RD)5只眼(0.69%).其中37只眼严重视网膜变性、16只眼干孔和4只眼亚临床RD行氩激光光凝治疗,仅1例亚临床RD需行视网膜脱离手术.结论近视LASIK术前及术后眼底常规检查和病变治疗是必要的.同时本文提出眼底病变光凝的指征.

关 键 词:激光手术  角膜/外科学  近视/外科学
文章编号:1004-4469(2001)04-0220-03
修稿时间:2000年10月23

Analysis and treatment of fundus disease before laser in situ keratomileusis
LU,Shu,yu.Analysis and treatment of fundus disease before laser in situ keratomileusis[J].Ophthalmology in China,2001,10(4):220-222.
Authors:LU  Shu  yu
Abstract:Objective:To investigate the fundus diseases of myopia and methods of treatment before laser in situ keratomileusis(LASIK).Methods:The fundi of 385 myopic patients(721 eyes)were examined with three mirror contact lens and recorded accurately.Results:Retinal degeneration was detected in 136 eyes(18 86%),retinal break in 16 eyes(2 22%)and retinal detachment(RD)in 5 eyes(0 69%)of these eyes.37 eyes with serious retinal degeneration,16 eyes with retinal break and 4 eyes with RD were treated with photocoagulation,only 1 RD eye was treated with RD surgery.Conclusion:In myopia patients,it is important to examine the fundus routinely and treated the fundus disease before LASIK and postoperatively.Indications of photocoagulation before LASIK are suggested.
Keywords:laser  surgery  cornea/surgery  myopia/surgery
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