文章摘要
查汝勤,王琼,杨艳,等.广域眼底成像在早产儿视网膜病变激光治疗中的应用[J].安徽医药,2024,28(6):1174-1176.
广域眼底成像在早产儿视网膜病变激光治疗中的应用
Application of wide-field imaging system in laser treatment for retinopathy of prematurity
  
DOI:10.3969/j.issn.1009-6469.2024.06.025
中文关键词: 早产儿视网膜病变综合征  激光光凝  广域眼底成像系统  光凝遗漏区  间接眼底镜
英文关键词: Retinopathy of prematurity syndrome  Laser photocoagulation  Wide-field retinal images  Skip areas  Indirect laser photocoagulation
基金项目:合肥市卫健委项目( Hwk2020yb008);合肥市科技局立项项目( J2020Y08);安徽省妇幼保健院院级科研项目( kyyb2020-1-2)
作者单位E-mail
查汝勤 安徽省妇幼保健院眼科安徽合肥230001  
王琼 安徽省妇幼保健院眼科安徽合肥230001  
杨艳 安徽省妇幼保健院眼科安徽合肥230001  
王娟娟 安徽省妇幼保健院眼科安徽合肥230001  
龚健杨 安徽医科大学第一附属医院眼科安徽合肥 230022 gongjianyang07@163.com 
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中文摘要:
      目的观察广域眼底成像在早产儿视网膜病变( ROP)激光治疗中的应用价值。方法选取 2017年 2月至 2020年 8月在安徽省妇幼保健院确诊为 ROP的 33例 60眼纳入研究。 60眼 ROP均在间接眼底镜下接受了初始激光光凝治疗,治疗后立即通过广域眼底成像识别所有的无血管区和激光遗漏区,并对遗漏区域补充光凝。治疗后 1周内复查,平均随访 5.5个月。随访期间主要观察光凝范围、光凝有无遗漏及病变是否消退或进展。结果激光治疗 60眼中共发现 9个激光遗漏区,主要分布在嵴周或颞侧,对遗漏区及时补充光凝。术后 1周复查,未发现光凝遗漏区,术后远期复查所有病变均消退。结论广域眼底成像实现了视网膜的可视化,准确识别初始激光可能遗漏的区域,及时补充光凝以减少 ROP因光凝不足需再次治疗的可能性。
英文摘要:
      Objective To observe the application value of wide-angle imaging system in laser treatment of retinopathy of prematurity (ROP).Methods Sixty eyes of 33 patients diagnosed with ROP in Anhui Maternal and Child Health Hospital from February 2017 toAugust 2020 were included in the study. All 60 eyes with ROP received initial laser photocoagulation treatment under indirect fundusmicroscopy. Immediately after treatment, all vascularless areas and laser missing areas were identified by wide-field fundus imaging,and photocoagulation was added to the missing areas. The patients were reexamined within 1 week after treatment and were followed upfor an average of 5.5 months During the follow-up period, the scope of photocoagulation, the absence of photocoagulation and the regression or progression of lesions were mainly observed.Results A total of 9 skip areas were identified in the 60 eyes treated with laserphotocoagulation. Most skip areas occurred in the temporalretina or the next to the ridge. No missing area of photocoagulation wasfound one week after surgery, and all lesions were subtracted after long-term review.Conclusions Wide-field imaging can assist ophthalmologists in visualizing all regions of the retina, and identify the skip areas afterl laser photocoagulation. Thus, wide-field imaging may potentially reduce the need for the retreatment of skip areas after initial laser for ROP.
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