多波长激光治疗视网膜分支静脉阻塞的疗效观察  

Therapeutic efficacy of Different Wavelength Lasers in the Branch Retinal Vein Occlusion

作　　者：毛新帮[1] 游志鹏[1] 赵菊莲[1] 

机构地区：[1]南昌大学第二附属医院眼科,南昌330006

出　　处：《实用临床医学（江西）》2009年第1期82-85,共4页Practical Clinical Medicine

摘　　要：目的观察多波长氪离子激光光凝治疗视网膜分支静脉阻塞的临床疗效。方法对98例98眼视网膜分支静脉阻塞患者采用多波长氪离子激光光凝治疗,术后定期观察视力、黄斑水肿、视网膜新生血管及无灌注区情况,随访时间6～12个月,平均10个月。结果视力增加76.5%(75/98),不变者23.5%(23/98)。无一例视力减退。激光治疗前视力0.5以上者占48.98%(48/98),治疗后为65.31%(64/98);黄斑水肿完全消退者42.85%(42/98),部分消退者43.88%(43/98),不变者13.27%(13/98)。视网膜新生血管完全消退者66.66%(10/15),部分消退者33.44%(5/15)。视网膜无灌注区经多次激光治疗后,大部分消失。结论多波长氪离子激光光凝治疗视网膜分支静脉阻塞具有较好的治疗效果,且并发症少。Objective To observe the therapeutic effect of different wavelength krypton lasers on the branch retinal vein occlusion. Methods Ninety-eight cases （98 eyes） with the branch reti- nal vein occlusion were treated with different wavelength krypton lasers. The changing in visual acuity,macular edema,retinal neovascuiarization and nonperfusion area were observed. The follow-up was 6-12 months,meanly 10 months. Results The visual acuity was improved in 76.5% （75/98） of the patients and stable in 23.5%（23/98）. The visual acuity decreased in no one. The visual acuity of 48.98% （48/98） of patients was 0.5 or more than 0.5 preoperatively, while the visual acuity of 65.31% （64/98） of patients was 0.5 or more than 0.5 postoperatively. The macular edam disappeared completely in 42. 85% （42/98） of patients, and disappeared partially in 43.88% （43/98） and table in 13.27% （13/98）. Retinal neovaseularization disappeared completely in 66.66 % （10/15） of the patients,disappeared partially in 33.44 % （5/15）. The most of nonperfu- sion area in the retina disappeared after several photocoagulations. Conclusion The therapeutic effect of different wavelength lasers was very good at treatment in the branch retinal vein occlusion with less complication.

关 键 词：视网膜分支静脉阻塞 激光凝固术 多波长氪激光 

分 类 号：R744.1[医药卫生—神经病学与精神病学]