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Juvenile anterior retinoschisis, retinal dialysis, and retinal detachment

郭浩轶, 郭希让, 田清芬, 赵朝霞, 黄爱国

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Abstract

目的:探讨青年性前部视网膜劈裂锯齿缘断离及视网膜脱离的临床特点、治疗及其预后.方法:对青年性前部视网膜劈裂锯齿缘断离合并视网膜脱离患者10例20只眼进行常规检眼镜眼底及Goldmann三面镜联合巩膜压陷检查,根据不同情况进行激光光凝,或巩膜冷凝外加压手术治疗,并随访1~5年.结果:共10例,年龄17~32岁,8例为双眼患病,病变位于颞下,双侧对称.11眼同时患有前部视网膜劈裂、锯齿缘断离及视网膜脱离,3眼患有前部视网膜劈裂及锯齿缘断离,1眼仅有前部视网膜劈裂,3眼仅有锯齿缘断离其中2眼合并视网膜脱离.13眼合并视网膜脱离者采用巩膜冷凝外加压术,全部一次治愈,5眼行激光封闭锯齿缘断离及劈裂区.随访期间未见视网膜脱离,视力均有不同程度提高.结论:青年性前部视网膜劈裂锯齿缘断离及视网膜脱离有典型的临床特点,尽早发现、适宜治疗,预后良好.

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目的:探讨青年性前部视网膜劈裂锯齿缘断离及视网膜脱离的临床特点、治疗及其预后.方法:对青年性前部视网膜劈裂锯齿缘断离合并视网膜脱离患者10例20只眼进行常规检眼镜眼底及Goldmann三面镜联合巩膜压陷检查,根据不同情况进行激光光凝,或巩膜冷凝外加压手术治疗,并随访1~5年.结果:共10例,年龄17~32岁,8例为双眼患病,病变位于颞下,双侧对称.11眼同时患有前部视网膜劈裂、锯齿缘断离及视网膜脱离,3眼患有前部视网膜劈裂及锯齿缘断离,1眼仅有前部视网膜劈裂,3眼仅有锯齿缘断离其中2眼合并视网膜脱离.13眼合并视网膜脱离者采用巩膜冷凝外加压术,全部一次治愈,5眼行激光封闭锯齿缘断离及劈裂区.随访期间未见视网膜脱离,视力均有不同程度提高.结论:青年性前部视网膜劈裂锯齿缘断离及视网膜脱离有典型的临床特点,尽早发现、适宜治疗,预后良好.

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Available abstract

目的:探讨青年性前部视网膜劈裂锯齿缘断离及视网膜脱离的临床特点、治疗及其预后.方法:对青年性前部视网膜劈裂锯齿缘断离合并视网膜脱离患者10例20只眼进行常规检眼镜眼底及Goldmann三面镜联合巩膜压陷检查,根据不同情况进行激光光凝,或巩膜冷凝外加压手术治疗,并随访1~5年.结果:共10例,年龄17~32岁,8例为双眼患病,病变位于颞下,双侧对称.11眼同时患有前部视网膜劈裂、锯齿缘断离及视网膜脱离,3眼患有前部视网膜劈裂及锯齿缘断离,1眼仅有前部视网膜劈裂,3眼仅有锯齿缘断离其中2眼合并视网膜脱离.13眼合并视网膜脱离者采用巩膜冷凝外加压术,全部一次治愈,5眼行激光封闭锯齿缘断离及劈裂区.随访期间未见视网膜脱离,视力均有不同程度提高.结论:青年性前部视网膜劈裂锯齿缘断离及视网膜脱离有典型的临床特点,尽早发现、适宜治疗,预后良好.

Key concepts: Retinoschisis, Retinal detachment, Retinal, Ophthalmology, Medicine, Optometry, Dialysis, Surgery

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