荧光素眼底血管造影在糖尿病性黄斑水肿诊断和治疗中的应用价值  

Clinical value of fundus fluorescein angiography on diagnosis and treatment of diabetic macular edema

作　　者：赫红丹[1] 王洁[1] 邴寒[1] 金奎东[1] 初海迪[1] 

机构地区：[1]黑龙江省医院眼科,黑龙江哈尔滨150001

出　　处：《中国医学装备》2015年第8期108-110,共3页China Medical Equipment

摘　　要：目的：评价荧光素眼底血管造影（FFA）在糖尿病性黄斑水肿诊断和指导治疗方面的价值。方法：采用FFA对98例（196只眼）糖尿病患者进行筛查,对存在的黄斑水肿程度进行分级,并根据黄斑水肿程度指导治疗。随访1~6个月,观察患者视力、眼压、眼底改变及FFA表现。结果：经FFA检查筛查出67只眼（占34.18%）存在黄斑水肿,其中轻度糖尿病性黄斑水肿31只眼（占46.27%）,采用结膜下注射曲安奈德0.5 ml（20 mg）;中度糖尿病性黄斑水肿20只眼（占29.85%）,采用结膜下注射曲安奈德0.5 ml（20 mg）联合黄斑部激光光凝;重度糖尿病性黄斑水肿16只眼（占23.88%）,采用玻璃体腔注射曲安奈德0.1 ml（4 mg）联合黄斑部激光光凝。治疗后所有患者视力均有不同程度提高,黄斑水肿均有减轻。有5只眼出现眼压升高,经局部滴降眼压药后控制。结论：FFA对糖尿病性黄斑水肿的诊断、指导治疗及随访观察有着重要作用。Objective：To evaluate the effect of fundus fluorescein angiography（FFA） on diagnosis and treatment of diabetic macular edema（DME）.Methods： The changes of images of FFA in 98 patients（196 eyes） diagnosed with diabetic retinopathy（DR） were observed and analyzed. The degree of macular edema of the patients was classified by FFA. The treatments were performed according to the degree of macular edema. During 1~6 months follow-up, the visual acuity, intraocular pressure, fundus and FFA were observed.Results： There are 67 eyes with DME in 196 eyes with DR（34.18%）. 31 eyes（46.27%） with mild DME were treated with bulbar conjunctiva injection of 0.5ml（20mg） triamcinolone acetonide（TA）; 20 eyes（29.85%） with moderate DME were treated with bulbar conjunctiva injection of 0.5ml（20mg） TA combined with laser for macula; 16 eyes with severe DME were treated with intravitreous injection of 0.1ml（4mg） TA combined with laser for macula. The visual acuity and the degree of macular edema of all the patients have been improved in varying degrees. Elevation of intraocular pressure occurred in 5 patients,but were controlled by eyedrops. Conclusion： FFA plays an important role in the diagnosis, guiding treatment and follow-up observation of DME.

关 键 词：荧光素眼底血管造影 糖尿病性黄斑水肿 曲安奈德 激光 

分 类 号：R774.1[医药卫生—眼科]