论文部分内容阅读
[目的]观察经瞳孔温热疗法必要时联合玻璃体切割术治疗视网膜大动脉瘤的临床疗效。[方法]经荧光素眼底血管造影(Fluorescein fundus angiography,FFA)和部分行光学相干断层扫描(Optical coherence tomography,OCT)检查确诊的13例患者13眼进行经瞳孔温热疗法(Transpupillary thermotherapy,TTT)及必要时联合玻璃体切割术治疗,患者年龄62到76岁,男8眼,女5眼,有4眼进行3次重复TTT治疗,有3眼由于黄斑前玻璃体积血浓密,先行玻璃体切割术。术前术后及随诊1,2,6月时检查视力,眼底照相,FFA,OCT。[结果]随诊6月时TTT或联合玻切治疗后8眼(13眼中)(58.33%)视力提高2行或2行以上,3眼(13眼中)(23.07%)视力提高2行以下,2眼(13眼中)(15.38%)视力不变,未见明显并发症。[结论]TTT或联合玻切治疗黄斑前出血浓密的视网膜大动脉瘤能稳定患者视力和病情进展,但机制不明,缺乏更多病例和更长时间的随访观察,以及与传统激光治疗的对比研究。
[Objective] To observe the clinical effect of transpupillary thermotherapy combined with vitrectomy for the treatment of retinal aneurysm. [Method] Thirteen eyes of 13 patients confirmed by Fluorescein fundus angiography (FFA) and partial coherence tomography (OCT) were examined by transpupillary thermotherapy (TTT) And if necessary combined vitrectomy. Patients were 62 to 76 years of age, 8 males and 5 females, and 4 eyes were treated with 3 repeat TTTs. Three eyes had a vitreous body cut first due to a thick anterior vitreous volume. Visual acuity, fundus photography, FFA and OCT were examined before and after surgery in 1, 2 and 6 months. [Results] The visual acuity increased by 2 lines or more in 8 eyes (13 eyes) (58.33%) after TTT or combined vitrectomy at 6 months. The visual acuity increased by 2 lines in 3 eyes (13.07%), 2 eyes (13 eyes) (15.38%) unchanged vision, no significant complications. [Conclusion] TTT or combined vitrectomy for the treatment of retinal aneurysm with thick pre-macular hemorrhage can stabilize the patients’ vision and progression of the disease. However, the mechanism is unknown, the lack of more cases and longer follow-up observation, and the comparison with conventional laser treatment.