[关键词]
[摘要]
目的：观察早期视网膜光凝联合血府逐瘀汤治疗缺血型视网膜静脉阻塞(retinal vein occlusion，RVO)的临床疗效。
方法：采用Zeiss Lumenis 1000激光治疗机，对确诊为缺血型RVO的患者55例55眼早期行眼底激光光凝，辅以血府逐瘀汤治疗，3mo后复查，观察视力及视网膜无灌注区变化及新生血管情况。
结果：治疗3mo后，23例(42%)视力提高，30例(55%)视力稳定，2例(4%)视力下降，总有效率96%。38例(69%)治疗后视网膜无灌注区消失，15例(27%)无灌注区面积<5视盘面积(disc area，DA)，2例(4%)无灌注区面积≥5DA。
结论：早期视网膜光凝联合血府逐瘀汤是一种有效的、合理的治疗缺血型视网膜静脉阻塞的方法。
[Key word]
[Abstract]
AIM: To observe the curative effect of early retinal photocoagulation combined with Xuefuzhuyu decoction in treatment of ischemic retinal vein occlusion(RVO).
METHODS: Fifty-five patients(55 eyes)with ischemic RVO received early retinal photocoagulation by Zeiss Lumenis 1000 laser machine combined with Xuefuzhuyu decoction. The visual acuity, capillary nonperfusion and neovascularization were detected at 3 months after treatment.
RESULTS: Three months after treatment, visual acuity were increased in 23 cases(42%), steady in 30 cases(55%), decreased in 2 cases(4%), the total effective rate was 96%. Retinal non-perfusion area(NPA)disappeared in 38 cases(69%), NPA was less than 5 disc area(DA)in 15 cases(27%)and ≥5DA in 2 cases(4%).
CONCLUSION: Early retinal photocoagulation and Xuefuzhuyu decoction is effective and reasonable treatment for ischemic RVO.
[中图分类号]
[基金项目]
