早期视网膜光凝联合血府逐瘀汤治疗缺血型视网膜静脉阻塞  

Curative effect of early retinal photocoagulation and Xuefuzhuyu decoction for ischemic retinal vein occlusion

作　　者：高娟玉 周渊 

机构地区：[1]昆山中医医院眼科,中国江苏省昆山市215300

出　　处：《国际眼科杂志》2013年第9期1840-1841,共2页International Eye Science

摘　　要：目的:观察早期视网膜光凝联合血府逐瘀汤治疗缺血型视网膜静脉阻塞(retinal vein occlusion,RVO)的临床疗效。方法:采用Zeiss Lumenis1000激光治疗机,对确诊为缺血型RVO的患者55例55眼早期行眼底激光光凝,辅以血府逐瘀汤治疗,3mo后复查,观察视力及视网膜无灌注区变化及新生血管情况。结果:治疗3mo后,23例(42%)视力提高,30例(55%)视力稳定,2例(4%)视力下降,总有效率96%。38例(69%)治疗后视网膜无灌注区消失,15例(27%)无灌注区面积<5视盘面积(discarea,DA),2例(4%)无灌注区面积≥5DA。结论:早期视网膜光凝联合血府逐瘀汤是一种有效的、合理的治疗缺血型视网膜静脉阻塞的方法。AIM： To observe the curative effect of early retinal photocoagulation combined with Xuefuzhuyu decoction in treatment of ischemic retinal vein occlusion （RVO）. METHODS： Fifty-five patients （55 eyes） with ischemic RVO received early retinal photocoagulation by Zeiss Lumenis 1000 laser machine combined with Xuefuzhuyu decoction. The visual acuity, capillary nonperfusion and neovascularization were detected at 3 months after treatment. RESULTS： Three months after treatment, visual acuity were increased in 23 cases （42%）, steady in 30 cases （55%）, decreased in 2 cases （4%）, the total effective rate was 96%. Retinal non-perfusion area （NPA） disappeared in 38 cases （69%）, NPA was less than 5 disc area （DA） in 15 cases （27%） and ≥5DA in 2 cases （4%）. CONCLUSION： Early retinal photocoagulation and Xuefuzhuyu decoction is effective and reasonable treatment for ischemic RVO.

关 键 词：早期视网膜光凝 血府逐瘀汤 缺血性视网膜静脉阻塞 

分 类 号：R774.1[医药卫生—眼科]