目的 探讨Nd:YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法 总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析，所有患者均行Nd:YAG激光内界膜切开术，激光初始能量为3.0～4.8 mJ。观察记录患者术前术后视力，眼压及眼底情况。结果 患眼视力由术前的手动(6例)或指数(4例)提高到术后第1天的0.1~0.5，最后视力稳定在0.8~1.2。随诊期间眼压稳定，未发现并发症。结论 Nd:YAG激光内界膜切开治疗Valsalva视网膜病变是安全有效的方法。
Abstract
Objective To report ten cases of premacular hemorrhage secondary to Valsalva retinopathy treated with Nd:YAG laser membranotomy and discuss techniques as well as the literature data.Methods Ten cases (10 eyes) of premacular hemorrhage secondary to Valsalva retinopathy were treated with Nd:YAG laser membranotomy. Power settings ranged from 3.0 to 4.8 mJ. Best-corrected visual acuity and intraocular pressure were measured.Results Visual acuity at presentation ranged from hand motion (6 patients) to counting fingers (4 patients). Visual acuity improved to 0.1 to 0.5 after laser treatment. Final visual acuity ranged from 0.8 to 1.2. No complications were noted.Conclusions Nd:YAG laser membranotomy is a non-invasive treatment option that may be successfully used to treat premacular hemorrhage secondary to Valsalva retinopathy.
关键词
Valsalva视网膜病变 /
Nd:YAG激光 /
光学相干断层扫描 /
黄斑前积血
Key words
valsalva retinopathy /
Nd:YAG laser /
optical coherence tomography /
premacular hemorrhage
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参考文献
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