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掺钕钇铝石榴石激光治疗先天性瞳孔残膜初步经验

Nd∶YAG Laser Therapy for Hyperplastic Pupillary Membranes

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【作者】 朱承华谢莉娜卞春及孙盛英

【Author】 Zhu Chenhua, Xie Lina, Bian Chunji, et al Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029

【机构】 南京医科大学第一附属医院眼科

【摘要】 探讨掺钕钇铝石榴石(Nd∶YAG)激光治疗先天性瞳孔残膜的手术方法,并评价了Nd∶YAG激光手术效果。用ZeissD—7082型Q-开关式Nd∶YAG激光机对6例(8只眼)伴明显视力障碍的先天性瞳孔残膜行上方270°范围切断。结果:眼部出血、色素播散、眼压升高均不明显,所有病例的视力主、客观上得以显著改善,尤其白昼明显。Nd∶YAG激光治疗先天性瞳孔残膜不失为一种安全、可靠、简便的手术方法。

【Abstract】 To explore Nd∶YAG laser incising method for the extensive persistant hyperplastic pupillary membranes (PPMs) and evaluate the therapeutic effects of the Nd∶YAG laser for the extensive hyperplastic PPMs. Eight eyes with extensive hyperplastic PPMs with significant reduction of visual acuity and clarity were subjected to sectioning of the membranes in the superior 270° of the pupil using a D 7082 Q switched Nd∶YAG laser. Complications of hemorrhages, pigment dispersal, and elevation of intraocular pressure were insignificant, while the objective and subjective improvement of visual acuity were remarkable, especially in bright day light. The results indicate the operation is safe and reliable for hyperplastic PPMs with least complications.

  • 【文献出处】 南京医科大学学报 ,ACTA ACADEMIAE MEDICINAE NANJING , 编辑部邮箱 ,1997年03期
  • 【分类号】R779.63
  • 【下载频次】25
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