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尽管全视网膜光凝治疗增殖性糖尿病性视网膜病变能显著增进视力,并能使可引起玻璃体出血的新生血管消退,但也可引起一些并发症,如预料中的视野减小、色觉异常、暗适应改变和无法预测的并发症如黄斑中心凹灼伤、黄斑水肿及视网膜脱离。这种视网膜脱离包括短暂的、有时合并脉络膜渗出的渗出性视网膜脱离和由于玻璃体视网膜牵引所致的黄斑部视网膜脱离,并在许多病例中具有视网膜裂孔。关于光凝与牵拉性或发生裂孔的黄斑脱离之间关系,以前未有研究报告。为此,作者就他们的经验及资料对此进行分析。
Although panretinal photocoagulation in proliferative diabetic retinopathy can significantly improve vision and regain neovascularization, which can cause vitreous hemorrhage, it can also cause complications such as reduced vision, abnormal color vision, dark adaptation Altered and unpredictable complications such as foveal burns, macular edema and retinal detachment. This retinal detachment includes exudative retinal detachment that is transient, sometimes combined with choroidal exudation, and macular retinal detachment due to vitreoretinal traction and in many cases retinal breaks. There is no previous report on the relationship between photocoagulation and traction or macular detachment. To this end, the authors analyze their experience and information.