增生性糖尿病视网膜病变弥漫性黄斑水肿的激光治疗  

Laser therapy for diffuse diabetic macular edema and proliferative diabetic retinopathy

作　　者：邹俊[1] 杨冠[1] 方玲辉[1] 陈国辉[1] 

机构地区：[1]上海交通大学附属第六人民医院眼科,上海市200233

出　　处：《眼科新进展》2004年第4期298-299,共2页Recent Advances in Ophthalmology

摘　　要：目的　评价全视网膜光凝联合黄斑格栅样光凝治疗伴有弥漫性黄斑水肿的增生性糖尿病视网膜病变的疗效。方法　 4 0例 5 0眼伴有弥漫性黄斑水肿的增生性糖尿病视网膜病变患者 ,采用氩绿激光进行黄斑格栅样光凝联合全视网膜光凝。分析视力、黄斑水肿和新生血管的变化。结果　激光治疗后随访 6～ 30个月 ,5 0眼中 36眼治疗有效 ;76 %患眼的视力稳定 ,视力进步者占 12 % ;6 2 %患眼黄斑水肿明显减少 ,黄斑水肿完全消退者占 10 % ;视网膜新生血管或视盘新生血管完全消退者为 12 % ,部分消退者为 5 6 % ,余 14眼 (2 8% )治疗无效。结论　全视网膜光凝联合黄斑格栅样光凝是治疗伴有弥漫性黄斑水肿的增生性糖尿病视网膜病变的有效措施。Objective To probe into the efficacy of combined macular grid and panretinal photocoagulation in diabetic eyes with diffuse macular edema and proliferative retinopathy.Methods Forty cases (50 eyes) with diabetic diffuse macular edema and proliferative retinopathy were treated by green Argon laser with combined macular grid and panretinal photocoagulation. The changes of visual acuity, macular edema and neovascularization were analyzed.Results After a follow up of 6～30 months,72% (36/50) of the diabetic eyes were effectively treated. Visual acuity of the affected eyes was improved in 12%,stable in 76%. Macular edema was significantly reduced in 62%,completely disappeared in 10%. NVD or NVE was completely regressed in 12%,partly regressed in 56%. And the treatment of the other 14 eyes (28%) was no effect.Conclusion Combined macular grid and panretinal photocoagulation is an effective treatment approach in diabetic eyes with diffuse macular edema and proliferative retinopathy.

关 键 词：糖尿病视网膜病变 黄斑水肿 激光 光凝 

分 类 号：R774.5[医药卫生—眼科]