荧光素眼底血管造影在糖尿病性视网膜病变中的应用价值  

Chnical value of fundus fluorescein angiography on diabetic retinopathy

作　　者：童翀[1] 荣瑜[1] 罗建勋[1] 

机构地区：[1]安徽省安庆市第一人民医院眼科,246003

出　　处：《临床眼科杂志》2008年第5期427-428,共2页Journal of Clinical Ophthalmology

摘　　要：目的评价荧光素眼底血管造影(FFA)在糖尿病性视网膜病变(DR)诊断分期和指导治疗方面的价值。方法采用FFA对182例(364只眼)糖尿病患者进行筛查,对DR临床分期进行修正,并根据FFA的分期指导治疗。结果12只眼眼底检查未发现有DR的患者FFA显示有Ⅰ期微血管瘤病变;25只眼Ⅰ-Ⅱ期患者FFA显示更多的微血管瘤及合并黄斑水肿改变;11只眼Ⅲ期患者FFA显示毛细血管无灌注区范围比检眼镜下检出棉絮斑范围广,13只眼出现新生血管改变;20只眼Ⅳ期患者检出比检眼镜下更多的新生毛细血管及黄斑水肿改变。结论FFA是作为DR分期的最佳标准,且为指导激光治疗和评定光凝疗效的指标。Objective To evaluate the effect of fundus fluorescein angiography （ FFA ） on dignosis, typing stage, treatment of diabetic retlnopathy（DR ）. Methods The changes of images of FFA of 182 patients （ 364 eyes ） diagnosed with DR during serious stages were observed and analyzed. New stages were made from the results. Results 12 eyes without DR under funduscope were fund microaneurysm that is DR stage in FFA ;25 eyes with DR stage 1 to 2 were fund much more microaneurgsm and maeulur edema in FFA; 11 eyes with DR stage 3 were fund much more capillary nonperfusion in FFA,13 eyes with DR stage 3 under funduscope were found neovessels that is DR stage 4 in FFA;20 eyes with DR stage 4 were fund much more neovessels and maeulur edema. Conclusion FFA is the best criteria to type stage of DR. It is helpful to direct laser treatment and evaluate its curative effect.

关 键 词：糖尿病视网膜病变 荧光素眼底血管造影 临床分析 治疗方法 

分 类 号：R774.1[医药卫生—眼科] R587.1[医药卫生—临床医学]