氪黄激光治疗糖尿病性视网膜病变黄斑水肿  

Krypton yellow laser photocoagulation for macular edema of diabetic retinopathy

作　　者：王莺[1] 蔡季平[2] 魏锐利[2] 周浩[2] 朱莉[2] 

机构地区：[1]上海建工医院眼科,200083 [2]上海长征医院眼科

出　　处：《中国实用眼科杂志》2001年第7期552-553,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :评价氪黄激光治疗糖尿病性视网膜病变黄斑水肿的临床疗效。方法 :用氪黄激光治疗糖尿病性视网膜病变黄斑水肿共 34例 (48眼 ) ,氪黄激光波长 5 6 8nm,对黄斑区局部水肿采用局部光凝 ,弥漫性水肿采用 C形格栅状光凝 ,光凝距黄斑中心小凹 30 0 μm,避开视盘黄斑束 ,功率 6 0～ 2 0 0 m w,光斑直径 10 0 μm,曝光时间 0 .1s,光凝 6 8～ 189点 ,光斑反应 — 级。术后平均随访 10个月。结果 :术后视力提高者 33眼 (6 8.8% ) ,不变者 13眼 (2 7.1% ) ,下降者 2眼 (4.2 % )。光凝后黄斑水肿完全消退者 15眼 (31.3% ) ,部分消退者 2 8眼 (5 8.3% ) ,不变者 5眼 (10 .4% )。无明显并发症。结论 :氪黄激光治疗糖尿病性视网膜病变黄斑水肿安全。Objective: To evaluate the clinical effects of krypton yellow laser photocoagulation for macular edema in diabetic retinopathy. Methods: 48 eyes (34 cases) of diabetic retinopathy with macular edema were treated with local or grid macular krypton yellow photocoagulation. The course of followed-up was 10 months. Results: The visual acuities were 0.17(0.19 before treatment and 0.37(0.28 after treatment (P<0. 01), were increased in 68.8% of the subject eyes, stable in 27.l and decreased in 4.2%. Macular edema disappeared completely in 31.3% of the patients, disappeared partially in 58.3% and stable in 10.4%. Conclusions: Krypton yellow laser photocoagulation seems prominently effective and safe for the macular edema of diabetic retinopathy.

关 键 词：糖尿病性视网膜病变 激光凝固术 氪黄激光 黄斑水肿 

分 类 号：R587.2[医药卫生—内分泌] R774.13[医药卫生—内科学]