摘要
目的探讨玻璃体混浊患者行玻璃体激光消融术的临床效果及安全性。方法对2016-07到2017-02在我院门诊诊断为玻璃体轻中度混浊30例30眼患者进行回顾性分析,所有患者术前均作眼压、视力、眼部黑白B超及眼底照相并且放瞳眼底检查,排除活动性视网膜病变。选择混浊物在晶体后2-3mm及视网膜前3-4mm并且混浊物偏离视神经及黄斑的患者。采用Ultra Q:YAG激光仪治疗,2.0-5.0mj的能量单脉冲准确聚焦在混浊物上进行激射,每次不超过500点。结果每次术后1月复查视力、眼压、黑白B超及眼底。疗效显著的术后第1个月有15眼(占50%),2月有18眼(占60.0%),好转的术后第1月12眼(占40%),术后2个月11眼(占36.6%),无效的术后第1个月3眼(其中1例为Weiss环,2例为膜状混浊)(占10%),2个月1眼(占3.4%为膜状混浊)。术后第1个月总有效率占90%,无效率占10%。术后2月总有效率占96.6%,无效率占3.4%。无视网膜脱离及损伤,外伤性白内障,虹膜睫状体炎等并发症发生。结论 YAG激光玻璃体消融术治疗玻璃体混浊,疗效较好、简单、经济、安全,能够消除或减轻玻璃体混浊带来的视觉不适,同时由于本次治疗病例样本较少,观察时间较短,还需要更多病例及更长时间的观察。
Objetive To explore the clinical effect and safety of vitreous laser ablation for vitreous turbidity. Methods 30 cases （30 eyes） with vitreous turbidity were analyzed retrospectively. Preoperative ocular pressure, vision, B ultrasound, fundus photography and fundus examination were performed in order to exclude the active retinopathy. Among the selected patients, the muddy matter which was located at 2-3ram after the crystal and 3-4mm in the front of the retina were selected, and the muddy things were deflected from the optic nerve and macula, and were treated with Ultra Q： YAG. Results The ocular pressure, vision, B ultrasound and fundus examination were performed at postoperative 1 month. The total efficiency of the first month after surgery accounted for 90%, and inefficiency accounted for 10, 96.6% and 3.4% in two month after surgery. No retinal detachment and injury, traumatic cataract, iridocyelitis and other complications occurred. Conclusion Q： YAG vitreous ablation for vitreous turbidity is an effective treatment and further study is needed.
出处
《实用防盲技术》
2017年第3期102-103,125,共3页
Journal of Practical Preventing Blind
