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Wide-field digital pediatric retinal imaging system-assisted photocoagulation for retinopathy of prematurity
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
- Issue:
- 1
- DOI:
- No doi available
- Key Word:
- 视网膜病,早产儿/治疗;激光凝固术
Abstract： 目的 观察在广角数码儿童视网膜成像系统(RetCam Ⅱ)在激光光凝治疗早产儿视网膜病变(ROP)中的应用价值.方法 回顾分析连续发现的阈值ROP或阈值前Ⅰ型ROP患儿共30例58只眼,其中36只眼为阈值前Ⅰ型ROP,19只眼为阈值ROP,3只眼为外院冷冻术后有冷冻遗漏区ROP;1区ROP 8只眼,2区ROP 50只眼.54只眼(93.1%)进行了一次激光光凝,4只眼(6.9%)进行了2次激光光凝.应用半导体532 nm激光经双目间接检眼镜激光光凝周边视网膜无血管区.手术前后分别进行RetCamⅡ眼底检查,手术中对激光光凝遗漏区即刻进行补充治疗.治疗后随访时间3～11个月,平均5.5个月.结果 54只眼1次激光光凝术后1～3周反应良好,ROP病变得到控制.4只眼行第2次激光光凝术后,2只眼病变静止、消退;2只眼发生后极部局限性牵拉性视网膜脱离.随访结束时2只眼(3.4%)发生视网膜不良结构后果.结论 激光光凝手术前后行RetCamⅡ检查在治疗ROP时能够有效避免激光光凝"遗漏区",提高一次激光光凝成功率,减少手术后视网膜不良结构后果发生率.
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