糖尿病视网膜病变患者白内障术后低视力的光凝治疗  

The efficacy of retinal photocoagulation for low vision of diabetic retinopathy after cataract surgery

作　　者：雷方[1] 陶方方[2] 陈彬川[2] 南安超[2] 

机构地区：[1]河南科技大学,471023 [2]郑州大学第二附属医院眼科

出　　处：《中华眼外伤职业眼病杂志》2014年第6期423-425,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：郑州市2012年度技术研究与开发项目121PCXTD523

摘　　要：目的 评价视网膜光凝对糖尿病视网膜病变（DR）患者白内障手术后低视力的治疗效果.方法 回顾性分析白内障术后低视力的DR 52例（52眼）,根据治疗方法不同分为两组：接受视网膜光凝治疗的26例,为A组;未接受视网膜光凝治疗的26例,为B组.比较两组患者在白内障术后3个月、6个月时的最佳矫正视力（BCVA）和低视力眼数.结果 白内障术后3个月时,两组BCVA差异无统计学意义（P＞0.05）;术后6个月时,两组BCVA差异有统计学意义（P＜0.05）,A组优于B组.A组有低视力15例（57.69％）,B组有21例（80.77％）.A组有1例（3.85％） DR病情发展,B组有7例（26.92％）.结论 视网膜光凝可以改善DR患者白内障术后低视力的状态,控制DR病情.Objective To evaluate the efficacy of retinal photocoagulation for low vision of diabetic retinopathy（DR） after cataract surgery.Methods Fifty two eyes of 52 cases with low vision of DR after cataract surgery were analyzed retrospectively in this study.According to different treatment methods,52 cases were randomly divided into two groups.Group A contained 26 cases that had been treated by retinal photocoagulation,the other 26 cases who had not been treated by photocagalation composed group B.The best corrected visual acuity （BCVA） and the numbers of low vision between the two groups were compared at 3 and 6 months after surgery.Results The BCVA of the two groups had no statistically significant difference at the 3 month after surgery （P 〉 0.05）.At the 6 month after surgery,the BCVA in group A was statistically significantly better than that in group B（P 〈0.05）.There were 15 cases （57.69%） with low vision and 1 case （3.85%） with DR progressing in group A,and 21 cases （80.77%） with low vision and 7 cases （26.92%） with DR progressing in group B.Conclusion Retinal photocoagulation can improve the condition of low vision and control the DR progression.

关 键 词：光凝 视网膜 视网膜病变 糖尿病性 手术 白内障 低视力 

分 类 号：R779.6[医药卫生—眼科]