氩激光治疗糖尿病性黄斑水肿的临床观察

• 作 者: 杜敏 朱凤兰
• 机 构: 郑州市第二人民医院眼科郑州市眼科研究所,郑州市第二人民医院眼科郑州市眼科研究所,郑州市第二人民医院眼科郑州市眼科研究所 450000,450000,450000
• 出 处: 临床医学
• 发表日期: 2004年04期
• 关键词: 氩激光治疗 视力减退 黄斑水肿 光凝 临床观察 硬性渗出 局部病 黄斑区 微血管瘤 药物治疗

目的 :观察氩激光治疗糖尿病性黄斑水肿 (DME)的疗效。方法 :将 90例DME( 15 9眼 )随机分成两组 ,氩激光治疗 60例( 114眼 ) ,药物治疗 3 0例 ( 4 5眼 ) ,治疗后经 7～ 18个月随访 ,对比分析治疗前后的荧光素眼底血管造影 (FFA )及视力情况。结果 :激光组视力进步 2 3眼 ,占 2 0 2 %,不变 85眼 ,占 74 6%,视力减退 6眼 ,占 5 3 %;对照组视力进步 2眼 ,占 4 4%,不变 3 5眼 ,占77 8%,视力减退 8眼 ,占 17 8%。结论 :激光治疗可以改变局部组织代谢、循环 ,有利于局部病变的改善和恢复 ,从而延缓病程

Objective: To observe the effect of argon laser on diabetic macular edema (DME). Methods: 90 cases of DME (15 9 eyes) were randomly divided into two groups: argon laser treatment of 60 cases (114 eyes), drug treatment of 30 cases (45 eyes), followed up for 7 to 18 months after treatment, comparative analysis of treatment Fluorescein fundus angiography (FFA) and visual acuity before and after. Results: In the laser group, visual acuity was improved in 23 eyes (20%), 85 eyes (85%), 74% (6%), 6 eyes (53%) in the laser group, 4 eyes (44%) in the control group 35 eyes, 77.8%, 8 eyes, accounting for 17.8%. Conclusion: Laser treatment can change the local tissue metabolism, circulation, is conducive to the improvement and recovery of local lesions, thereby delaying the course