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[摘要]
目的:总结激光笔致视网膜光损伤的临床特点及预后。
方法:回顾性分析2014-06/2016-06来我院眼科就诊的因激光笔照射后导致视网膜光损伤的病例10例11眼,所有患者均进行眼科常规检查及OCT检查。
结果:双侧或单侧视力下降,视力0.3~0.8。眼底见黄斑区色素不均匀、黄斑区暗黄色斑或未见明显异常。OCT图像特征主要是视网膜内层断裂、视网膜外核层高反射、神经上皮层脱离、IS/OS层中断或缺损。在治疗1mo后复诊,7例7眼(64%)患者视网膜解剖结构得到改善,其中2例2眼(18%)患者视力恢复1.0。
结论:激光笔视网膜光损伤导致的视力下降是暂时性的或者永久性的,仍有待长期随访观察。
[Key word]
[Abstract]
AIM: To study the clinical characteristics and prognosis of laser pointer retinopathy.
METHODS: Eleven eyes from ten patients who came to our hospital diagnosed as laser pointer retinopathy from June 2014 to June 2016 were included. All the patients underwent routine eye examination and optical coherence tomography(OCT)examination.
RESULTS: The patients were suffering from either bilateral or unilateral visual loss, and their visual acuity ranged from 0.3 to 0.8. Fundus examinations revealed anisochromasia or a yellow spot at the fovea in some patients, while there were also some patients without obvious abnormity. OCT findings include disruption of inner retina, high reflective outer nuclear layer, detachment of retinal nerve epithelium and disruption of inner segment/outer segment line. Follow ups were done 1mo after initial treatment and 7 patients(7 eyes, 64%)experienced anatomic recovery. Visual acuity improved to 1.0 in two cases(18%).
CONCLUSION: Visual loss caused by laser pointer retinopathy could be either temporary or permanent. Long-term follow-ups are still needed to make a firm conclusion.
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