氪黄激光预防DR全视网膜光凝后黄斑水肿的近期疗效
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Efficacy of krypton yellow laser in macular edema after pan retinal photocoagulation
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    摘要:

    目的:探讨增殖性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)黄斑水肿的最佳治疗时间和方案。

    方法:激光患者分3组,甲组:PDR无黄斑水肿(黄斑格栅样光凝组); 乙组:PDR无黄斑水肿(未行黄斑格栅样光凝组); 丙组:PDR合并黄斑水肿。甲、丙组患者均先行氪黄激光黄斑格子样光凝,然后将3组均行全视网膜光凝。比较治疗后3组患者视力、眼底造影和OCT。

    结果:甲组患者治疗后黄斑厚度无改变,视力维持在较好水平; 乙组患者行全视网膜光凝后部分发生黄斑水肿,视力下降; 丙组患者治疗后黄斑水肿虽有改善,但视力维持在较差水平。

    结论:PDR没有伴黄斑水肿时先行黄斑格栅样光凝后再行全视网膜光凝,能预防黄斑水肿的发生。

    Abstract:

    AIM:To assess the therapeutic effects of krypton yellow laser for the prevention of diabetic macular edema in proliferative diabetic retinopathy(PDR).

    METHODS:A total of 108 eyes of 58 patients with PDR were grouped into 3 groups. PDR without macular edema(macular treated by krypton yellow laser); PDR without macular edema(macular without treat); PDR with macular edema(macular treated by krypton yellow laser); all patients were treated by pan retinal photocoagulation(PRP); the postoperative vision, fundus fluorescein angiography and macular OCT were compared.

    RESULTS:The group of PDR without macular edema(macular treated by krypton yellow laser)was better in vision than other groups.

    CONCLUSION: Macular treated by krypton yellow laser before PRP can prevent macular edema.

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虎学君,哈少平,侯学君.氪黄激光预防DR全视网膜光凝后黄斑水肿的近期疗效.国际眼科杂志, 2012,12(10):2000-2001.

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  • 收稿日期:2012-04-01
  • 最后修改日期:2012-09-04
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