糖尿病视网膜病变伴有晶状体混浊的氪黄激光治疗  

Diabetic Retinopathy with Cataract Treated by Krypton Yellow Laser Panretinal Photocoagulation

作　　者：马自勤 张亚丽 郭建慧 

机构地区：[1]山西运城市糖尿病防治中心运城同德医院眼科,运城市044000

出　　处：《中国激光医学杂志》2002年第2期117-120,共4页Chinese Journal of Laser Medicine & Surgery

摘　　要：目的　探讨应用氪黄激光行全视网膜光凝治疗伴有晶状体混浊的糖尿病视网膜病变的疗效。方法　对 138例 (2 5 0眼 )增殖前期及增殖早期糖尿病视网膜病变伴有不同类型晶状体混浊的患者 ,对照荧光素眼底血管造影 ,采用氪黄激光进行全视网膜光凝。随访 9～ 15个月 ,每 3个月复查视力及荧光素眼底血管造影 ,分析视力、毛细血管渗漏和新生血管的变化情况。结果　光凝后视力进步 179眼 (71 6 % ) ,无变化 5 5眼 (2 2 0 % ) ,减退 16眼 (6 4 % ) ;毛细血管渗漏消退 173眼 (6 9 2 % ) ,明显减轻 5 8眼 (2 3 2 % ) ,无变化 13眼 (5 2 % ) ,加重 6眼 (2 4 % ) ;新生血管全部萎缩 4 9眼 (6 8 1% ) ,部分萎缩 15眼 (2 0 8% ) ,无变化5眼 (6 9% ) ,加重 3眼 (4 2 % )。Objective To evaluate the efficacy and technical parameter of krypton yellow laser panretinal photocoagulation on diabetic retinopathy with cataract. Methods There were 138 cases (250 eyes) of preproliferative and early proliferative diabetic retinopathy accompanying with cataract had been treated with panretinal photocoagulation, contrasting to fundus fluorescein angiography(FFA). During the follow up of 9-15 months, patients' visual acuities and FFA were examined every 3 months. The changes in visual acuities, capillary leakage and neovascularization were analysed. Rusults After photocoagulation, visual acuities improved in 179 eyes (71 6%), reduced in 16 eyes (6 4%) and unchanged in 55 eyes (22 0%). Capillary leakage completely disappeared in 173 eyes (69 2%), partially disappeared in 58 eyes (23 2%), unchanged in 13 eyes (5 2%), and deteriorated in 6 eyes (2 4%). Neovascularization completely atrophied in 49 eyes(68 6%), partially atrophied in 15 eyes(20 8%), unchanged in 5 eyes(6 9%)and deteriorated in 3 eyes(4 2%). Conclusions Krypton yellow laser photocoagulation is effective in the treatment of diabetic retinopathy with cataract.

关 键 词：糖尿病视网膜病变 晶状体混蚀 氪黄激光 治疗 

分 类 号：R774.1[医药卫生—眼科] R454.2[医药卫生—临床医学]