倍频Nd:YAG激光格栅状光凝治疗弥漫性糖尿病性黄斑水肿  

Grid Photocoagulation with Fd-Nd:YAG Laser in Treatment of Diffuse Diabetic Macular Edema

作　　者：王少杰[1] 李晖[1] 董丽[1] 闵峰[1] 蒋洪飞[1] 

机构地区：[1]湖北省荆门市第一人民医院眼科,荆门市448000

出　　处：《中国激光医学杂志》2010年第1期21-23,67,共4页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的评价倍频Nd:YAG激光格栅状光凝治疗弥漫性糖尿病性黄斑水肿的疗效。方法弥漫性2型糖尿病性黄斑水肿患者145例204只眼,以倍频Nd:YAG(532nm)激光行视网膜格栅状光凝治疗,治疗前后行眼底检查、眼底荧光血管造影以及OCT检查,比较检查结果。结果145例204只眼,89例114只眼视力提高,占55.9%(P<0.01);66例88只眼黄斑区渗漏基本或大部分吸收,占43.1%(P>0.01);65例91只眼黄斑区视网膜水肿基本消退,占44.6%(P<0.01)。结论倍频Nd:YAG激光格栅状光凝治疗弥漫性糖尿病性黄斑水肿可显著改善视力、黄斑区渗漏和视网膜水肿。Objective To study the curative effect of grid photocoagulation with double frequency （Fd）Nd∶YAG laser on diffuse diabetic macular edema（DDME）.Methods The 204 eyes in 145 patients with DDME before and after grid photocoagulation by （Fd）Nd∶YAG laser were detected.The data were treated statistically with SPSS14.0 and Chi-square test.ResultsThe visual acuity was improved in 114 eyes from 89 patients （55.9%）.Macular edema decreased or disappeared in 91 eyes in 65 patients（44.6%）.ConclusionsGrid photocoagulation with Fd-Nd∶YAG laser has notable curative effect for DDME.

关 键 词：激光 糖尿病 黄斑水肿 

分 类 号：R587.1[医药卫生—内分泌] R779.63[医药卫生—内科学]