摘要
目的：探讨倍频５３２ｎｍ激光治疗糖尿病视网膜病变黄斑水肿（ＤＭＥ）的疗效。方法：回顾性分析２００１－０５／２００３－０７倍频５３２ｎｍ激光治疗的ＤＭＥ患者４６例（８６眼）的临床资料，比较治疗前后视力及水肿消退的情况。结果：４６例（８６眼）中对局限性水肿型、视力提高、不变、下降的情况分别是１４眼（３７％），２４眼（６３％），０眼。弥漫性水肿型视力提高、不变、下降的情况为７眼（１５％），３５眼（７３％），６眼（１２％）。ＤＭＥ消退情况：前者消退１１眼（２９％），好转２６眼（６８％），无效或加重１眼（３％）；后者消退６眼（１２％），好转２２眼（４６％），无效或加重２０眼（４２％）。结论：５３２ｎｍ激光治疗ＤＭＥ有效，且光凝对局限性水肿的治疗效果好于弥漫性水肿型。
AIM: To evaluate the effect of photocoagulation with 532nm frequency-doubled laser on treating diabetic macular edema (DME).· METHODS: The clinical data of 46 cases (86 eyes) who had been diagnosed as DME and treated by 532nm frequency-doubled laser were retrospectively analysed. The difference of visual improvement, resolution of macular edema between before and after laser treatment were compared.· RESULTS: Among the 46 cases (86 eyes), for those of focal DME, the postoperative visual improved in 14 eyes (37%), remained unchanged in 24 eyes (63%) and worsened in 0 eye respectively; For those of diffuse DME, the postoperative visual improved in 7 eyes (15%), remained unchanged in 35 eyes (73%), and worsened in 6 eyes (12%) respectively.· CONCLUSION: The 532nm frequency-doubled laser treatment might promote or accelerate visual acuity recovery and reduce the macular edema. The effect of photocoagulation on focal DME is better than on diffuse DME.·
出处
《国际眼科杂志》
CAS
2004年第5期947-948,共2页
International Eye Science
