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目的评价眼底激光治疗视网膜病变在预防LASIK术后视网膜脱离的作用。方法对LASIK手术前发现周边视网膜病变的66例78眼行眼底激光治疗,观察15～30d后行LASIK手术,术后随访1个月、3个月、1年和最终随访。结果眼底激光治疗后视网膜病变情况稳定,1年内随访66例78眼均未发现有视网膜脱离,两年内随访发现4眼因新的视网膜裂孔出现发生孔源性视网膜脱离,原激光治疗视网膜病变部位稳定。结论LASIK术前对存在视网膜病变的患者实施眼底激光治疗能有效预防视网膜脱离发生。
Objective To evaluate the effect of fundus laser treatment of retinopathy on the prevention of retinal detachment after LASIK. Methods Sixty-seven eyes (78 eyes) with peripheral retinopathy before LASIK were treated with fundus laser. LASIK was performed 15 to 30 days after operation. The patients were followed up for 1 month, 3 months, 1 year and final follow-up. Results Retinal lesions after retinal laser treatment were stable. No retinal detachment was found in 66 cases (78 eyes) within one year. Four eyes were found to have retinal detachment due to new retinal breaks within two years. The original laser treatment of retinopathy was stable . Conclusion LASIK preoperative retinal lesions in patients with retinal laser treatment can effectively prevent the occurrence of retinal detachment.