目的:比较光凝和冷凝在视网膜脱离复位术中的临床应用。方法:回顾分析2007-02/2009-08简单孔源性视网膜脱离复位术中应用术后光凝封闭裂孔42眼及术中冷凝封闭裂孔39眼的临床效果。结果:光凝组一次手术复位率为100%,冷凝组一次手术复位率为94.9%。术后视力改善光凝组为37眼(88%),冷凝组为29眼(74%),两组对视力的改善差异无统计学意义(P>0.05)。结论:巩膜外垫压联合术后激光也是治疗简单孔源性视网膜脱离的一种简单、有效的手术方式。

·AIM:To compare the clinical results of laser photocoagulation and cryopexy in the scleral buckling of rhegmatogenous retinal detachment.·METHODS:The results of 42 eyes treated with laser photocoagulation and 39 eyes treated with cryopexy from February 2007 to August 2009 were analysed.·RESULTS:Retinal detachment in photocoagulation group had an anatomic success rate of 100% with one surgical procedure.Retinal detachment eyes with retinal cryopexy had a success rate of 94.9% with one operation.The postoperative visual acuity of 37 eyes(88%)in photocoagulation group was impoved.The postopertive visual acuity of 29 eyes(74%)in cryopexy group was impoved,there was no difference between them(P>0.05).·CONCLUSION:Treating the rhegmatogenous retinal detachment by laser photocoagulation in scleral buckling is as simple and effective as cryopexy.·

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