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1、LASIK术询眼底病变的临床治疗选择作者：刘建国，万雅群，李勇，许恂，叶璐单位：中国陕西省西安市，笫四医院眼科准分子激光中心【摘要】目的：了解准分子激光原位角膜磨镶术(LASIK)术前初诊患者视网膜病变的类型和程度，明确手术适应证选择，术前给予相应处理，进一步提高手术安全性。方法：对LASIK术前初诊4248眼屈光度0.50D〜18.00D,散光≤6.00D的近视患者散哺三而镜检查眼底，详细绘图记录检查结果，并给Y相应处理，对实施LASIK手术者随访10〜20mo。结果：被检4248眼中,发现各种视网膜变性778眼(18.31%)；其中格子样变性60
2、眼(1.41%),霜样变性43211(10.17%),囊样变性72眼(1.69%),薄变22眼(0.52%),有两种以上混合变性的71眼(1.67%),视网膜增殖121眼(2.85%),周边视网膜干性裂孔71眼(1.67%)。其中严重视网膜变性65眼，干性视网膜裂孔71眼行氨激光光凝治疗，视网膜脱离9眼,4眼视网膜脱离需行手术,5眼局限性脱离行光凝.所有LASIK术后患者均未发现眼底病变加重或发生视网膜脱离。结论：LASIK术前详细了解视网膜病变是必要的，它能够为明确手术适应证，把握手术时机提供垂要的参考依据。【关键词】准分子激光原位角膜磨镶术；视网膜变性
3、；适应证ClinicaltreatmentoffundusdiseasesbeforeLASIKJianGuoLiu,YaQunWan,YongLi,XunXu,LuYeExcimerLaserCenter,DepartmentofOphthalmology,theFourthHospitalofXianCity,Xian710004,ShaanxiProvince,ChinaAbstractAIM:ToinvestigatethetypeanddegreeofretinopathybeforeLASIK,definitetheselectionofope
4、rativeindicationinordertoimprovethesecurity.METHODS:Thefundusof4248eyes,whosedioptrewas0.50Dto1&00D,astigmatismwas≤6・00D,wereexaminedbythreemirrorcontactlensundertheconditionofmydriasis・Theresultswererecordedandthepatientsweregivencorrespondingtreatment・Thefollowuptimewas1020mo
5、nths.RESULTS:Variousretinaldegenerationwerefoundin778eyes(18.31%),includinglatticedegenerationin60eyes(1.41%),frosteddegenerationin432eyes(10.17%),cystoiddegenerationin72eyes(1.69%),retinathinningin22eyes(0.52%)andtwoormorekindsofdegenerationsin71eyes(1.67%).Therewere121eyes(2.85%
6、)presentedretinalproliferation,ofthem,65eyeswithseriousretinaldegenerationand71eyeswithperipheralretinalholesweretreatedbyArgonlaserphotocoagulation.Ninecaseswereretinaldetachment,inwhich,4casesneededoperationand5caseswithlocalizeddetachmentunderwentphotocoagulation.Postoperativel
7、y,alleyeswerenotpresentedlesionsprogressingorretinaldetachment.CONCLUSION:Itisnecessarytoknowtheretinopathybeforeoperation,whichcanhelpustocleartheoperativeindicationandgrasptheoperationopportunity.KEYWORDS:fundusdiseases;LASIKLiuJGWanYQ,LiY,etal.Clinicaltreatmentoffundusdiseasesb
8、eforeLASIK.IntJOphthalmol(GuojiYa
