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目的 :探讨近视LASIK术前眼底病变及治疗方法。方法 :对 385例 (72 1只眼 )LASIK术前患者行散瞳眼底三面镜检查并作详细眼底记录。结果 :发现各种视网膜变性 136只眼 (18 86 % ) ,视网膜干性裂孔 16只眼 (2 2 2 % ) ,亚临床视网膜脱离 (RD) 5只眼 (0 6 9% )。其中 37只眼严重视网膜变性、16只眼干孔和 4只眼亚临床RD行氩激光光凝治疗 ,仅 1例亚临床RD需行视网膜脱离手术。结论 :近视LASIK术前及术后眼底常规检查和病变治疗是必要的。同时本文提出眼底病变光凝的指征
Objective: To investigate the fundus lesions and treatment of myopia before LASIK. Methods: 385 eyes (721 eyes) before LASIK were examined by mydriatic fundus fundus and recorded in detail. Results: A total of 136 eyes (18 86%) with retinal degeneration, 16 eyes with dry retinal tears (22%) and 5 eyes with subclinical retinal detachment (RD) were found. Among them, 37 eyes had severe retinal degeneration, 16 eyes with dry eye and 4 eyes with sub-clinical RD argon laser photocoagulation. Only 1 case of subclinical RD required retinal detachment surgery. Conclusion: Myopia LASIK preoperative and postoperative fundus examination and pathological treatment is necessary. At the same time this paper presents the indications of retinopathy of photocoagulation