局解手术学杂志2017，Vol.26Issue(3)：181-184,4.DOI:10.11659/jjssx.12E016070
单次Nd-YAG激光治疗黄斑区视网膜内界膜下出血
Single Nd-YAG laser for treatment of the sub-inner limiting membrane hemorrhage in the macular region
孟晓红 1冉黎 1李世迎 1王一1
作者信息
- 1. 第三军医大学西南医院眼科,重庆400038
- 折叠
摘要
Abstract
Objective To observe the efficacy of single Nd-YAG laser treatment for the sub-inner limiting membrane(sub-ILM) haemorrhages in the macular region.Methods This is an uncontrolled case series retrospective study.Nd-YAG laser was performed for 6 patients (6 eyes) with premacular sub-ILM haemorrhages.The best corrected visual acuity(BCVA) and optical coherence tomography(OCT) in macular were observed at 1 day,1 week,1 month and 3 months after operation.The conditation of hematopoietic drainage and complications of macular retina were recorded.Results Sub-ILM haemorrhages were clinically confirmed in 6 patients (aged from 23 to 60 years old),including 4 cases of paroxysm associated with cough,1 case of hypertension,and 1 case of diabetic retinopathy.Funduscopic examination showed sub-inner limiting membrane hemorrhage in the macular region,BCVA count finger (CF) was 0.05 (averagely 0.03).The onset time was from 5 hours to 12 days.All the patients were treated with Nd-YAG laser treatment once,and all of them resulted in excellent partial visual recovery immediately.The average hemorrhage absorption time was 2 weeks.OCT examination showed macular retinal inner limiting membrane calm and foveal shape recovery at 3 month after laser treatment.However,the two patients with hypertension and diabetes recieved vitrectomy at 2 weeks and 1 month after laser surgery respectively because of serious vitreous hemorrhage.Conclusion Single Nd-YAG laser is a safe and effective method in the treatment of simplicity sub-ILM haemorrhages.关键词
Nd-YAG激光/黄斑区/内界膜下出血/视网膜/玻璃体切除术Key words
Nd-YAG laser/macular region/sub-ILM haemorrhages/retina/vitrectomy分类
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孟晓红,冉黎,李世迎,王一..单次Nd-YAG激光治疗黄斑区视网膜内界膜下出血[J].局解手术学杂志,2017,26(3):181-184,4.
