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目的:球周注射曲安奈德(TA)联合光凝治疗黄斑水肿的疗效观察。方法:对已确诊的49例(57眼)黄斑水肿行格栅状光凝后球周注射TA20mg。术后随访视力、眼压和黄斑区视网膜厚度的变化。结果:57只眼视力提高39眼(68.42%),视力不变14眼(24.56%),视力下降4眼(7.02%)。水肿完全消退36眼(63.16%),水肿减轻18眼(31.58%),水肿未退3眼(5.26%)。黄斑区视网膜平均厚度较术前回退且具有统计学意义。结论:激光光凝联合球周注射TA治疗黄斑水肿能明显减轻黄斑水肿程度,缩短病程,提高中心视力。
Objective: To observe the curative effect of peri-injection of triamcinolone acetonide (TA) combined with photocoagulation on macular edema. Methods: Forty-nine cases (57 eyes) of macular edema were treated with peritubular injection of TA20mg after grid-like photocoagulation. Postoperative follow-up vision, intraocular pressure and macular retinal thickness changes. Results: The visual acuity improved in 57 eyes (68.42%), visual acuity in 14 eyes (24.56%), vision loss in 4 eyes (7.02%). Edema completely regressed in 36 eyes (63.16%), edema in 18 eyes (31.58%), and edema in 3 eyes (5.26%). The mean retina thickness in macular area was significantly lower than that before operation. Conclusion: Laser photocoagulation combined with periadaxial injection of TA in the treatment of macular edema can significantly reduce the degree of macular edema, shorten the course of disease and improve central vision.