氪黄激光预防DR全视网膜光凝后黄斑水肿的近期疗效  

Efficacy of krypton yellow laser in macular edema after pan retinal photocoagulation

作　　者：虎学君[1] 哈少平[1] 侯学君[1] 

机构地区：[1]宁夏回族自治区人民医院眼科,中国宁夏回族自治区银川市750021

出　　处：《国际眼科杂志》2012年第10期2000-2001,共2页International Eye Science

摘　　要：目的:探讨增殖性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)黄斑水肿的最佳治疗时间和方案。方法:激光患者分3组,甲组:PDR无黄斑水肿(黄斑格栅样光凝组);乙组:PDR无黄斑水肿(未行黄斑格栅样光凝组);丙组:PDR合并黄斑水肿。甲、丙组患者均先行氪黄激光黄斑格子样光凝,然后将3组均行全视网膜光凝。比较治疗后3组患者视力、眼底造影和OCT。结果:甲组患者治疗后黄斑厚度无改变,视力维持在较好水平;乙组患者行全视网膜光凝后部分发生黄斑水肿,视力下降;丙组患者治疗后黄斑水肿虽有改善,但视力维持在较差水平。结论:PDR没有伴黄斑水肿时先行黄斑格栅样光凝后再行全视网膜光凝,能预防黄斑水肿的发生。AIM：To assess the therapeutic effects of krypton yellow laser for the prevention of diabetic macular edema in proliferative diabetic retinopathy（PDR）.METHODS：A total of 108 eyes of 58 patients with PDR were grouped into 3 groups. PDR without macular edema（macular treated by krypton yellow laser）; PDR without macular edema（macular without treat）; PDR with macular edema（macular treated by krypton yellow laser）; all patients were treated by pan retinal photocoagulation（PRP）; the postoperative vision, fundus fluorescein angiography and macular OCT were compared.RESULTS：The group of PDR without macular edema（macular treated by krypton yellow laser）was better in vision than other groups.CONCLUSION： Macular treated by krypton yellow laser before PRP can prevent macular edema.

关 键 词：糖尿病视网膜病变 激光治疗 

分 类 号：R779.63[医药卫生—眼科]