810-nm激光治疗孤立性脉络膜血管瘤的临床研究  

Clinical study of circumscribed choroidal hemangioma treated with 810-nm photocoagulation

作　　者：奚翠萍[1] 熊期[1] 柯敏[1] XI Cuiping;XIONG Qi;KE Min(Dept.of Ophthalmology,Zhongnan Hospital of Wuhan University,Wuhan 430071,Hubei,China)

机构地区：[1]武汉大学中南医院眼科,湖北武汉430071

出　　处：《武汉大学学报（医学版）》2022年第1期149-152,共4页Medical Journal of Wuhan University

基　　金：湖北省卫生健康委员会联合基金项目(编号:WJ2019H033)。

摘　　要：目的:回顾性分析810-nm眼底激光治疗孤立性脉络膜血管瘤伴黄斑区视网膜脱离患者的临床效果。方法:收集27例27眼孤立性脉络膜血管瘤伴黄斑区视网膜脱离患者使用810-nm半导体激光治疗的临床资料,治疗后第1、3、6、12月复诊,包括视力、眼底照相、B超、眼底荧光血管造影(FFA)、吲哚菁绿血管造影(ICGA)及黄斑光学相干断层扫描(OCT)等检查,根据瘤体萎缩及黄斑积液情况决定是否再次激光治疗。结果:经多次激光治疗后疗效显著18例(66.67%),好转9例(33.33%),所有病例眼底照相瘤体萎缩,B超显示瘤体高度下降,黄斑OCT示网膜下液吸收。结论:810-nm激光光凝可显著改善孤立性脉络膜血管瘤患者的临床症状,方法简易、费用低廉、疗效好。Objective:To retrospectively analyze the clinical effect of 810-nm laser therapy for patients with circumscribed choroidal hemangioma and macular edema.Methods:Twenty-seven patients(27 eyes)with circumscribed choroidal hemangioma and macular edema were enrolled in this study.The patients were treated with 810-nm laser photocoagulation on choroidal hemangioma.Best corrected visual acuity(BCVA),fundus photography,ultrasonography,fundus fluorescein angiography(FFA),indocyanine green angiography(ICGA),and optical coherence tomography(OCT)were examined after 1 month,3 months,6 months,and 12 months after operation respectively.Patients who were found with macular edema would receive the operation again.Results:The results indicated that marked im-provement rate was 66.67%(18 cases)and the improvement rate was 33.33%(9 cases)after treatment.Fundus photography and ultrasonography showed that all patients′tumors shrank.OCT found no leakage in the macular.Conclusion:The treatment of 810-nm laser can obviously improve the patients′visual quality who suffered from circumscribed choroidal hemangioma,and it is convenient,economic,and effective.

关 键 词：脉络膜肿瘤 血管瘤 激光光凝 临床疗效 

分 类 号：R779.63[医药卫生—眼科]