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曲安奈德及激光治疗黄斑水肿的临床观察 被引量:4

Evaluation of therapeutic effects of triamcinolone acetonide and laser treatment for macular edema
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摘要 目的观察评价曲胺奈得及激光治疗黄斑水肿的疗效和安全性。方法16例(19只眼)(1例1只眼曾2次注射,1例1只眼曾3次注射)黄斑水肿患者。给予玻璃体腔注射曲胺奈德0.1 ml(4mg);黄斑区激光光凝及根据不同原发病选择其他部位的视网膜光凝。随访1-6个月,观察视力、眼压、前房反应、晶状体及眼底改变、荧光素眼底血管造影(FFA)。结果所有患者视力均有不同程度提高,其中1例病史3年的患者从0.1到0. 5,有3只眼出现眼压升高,2只眼局部滴降眼压药、1只眼加用口服药后控制,1只眼出现假性眼内炎。黄斑水肿均有减轻。结论曲胺奈德及激光治疗黄斑水肿是一种安全有效的方法。 Objective To observe and evaluate the therapeutic effect and security of triamcinolone acetouied (TA) and laser treatment for macular edema. Methods (Select)16 patients (19 eyes)with macular edema (One has been injected twice, another three times. ) were treated with intravitreous injection with 0.1 ml (4mg) triamcinoione acetouied, and photocoagulation to macular edema or other sites according to primary lesion During 1-6-months follow-up, the visual acuity, intraccular pressure,inflammtion in anterior chamder, lens and fundus fluoreseein angiography (FFA) were observed. Results The visual acuity of all the patients has been improved in varying degrees,oneS from 0.1 to 0.5. ( The patient has had the disease for 3 years. )Elevation of intraoular pressure occured in 3 patients ,in which two patientsintmocular pressure were controlled dy eyedrops and another dy additional oral medicine one patient got pseudo-ophthalmla. Macular edemawere improved in all patients Conclusion It's an effective and safe way to treat macular edema by TA and laser.
出处 《临床眼科杂志》 2006年第2期132-134,共3页 Journal of Clinical Ophthalmology
关键词 黄斑水肿 曲胺奈德 激光 疗效 Macular edema Triamcinolone acetonide Laser efficacy
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参考文献4

  • 1Antcliff RJ,Spalton DJ,Stanford MR,et al.Intravitreal triamcinolone for uveitic cystoid macular edema:an optical coherence tomography study,Ophthalmology,2001,108:765-772.
  • 2JonasJB,KreissigI,SofkerA,et al.Intravitreal injection of triamcinolone for diffuse diabetic macular edema.Arch Ophthalmol,2003,121:57-61.
  • 3刘谊,严密.曲安奈德玻璃体腔注射的临床应用[J].中华眼底病杂志,2003,19(4):263-265. 被引量:90
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二级参考文献4

  • 1Jost B. Jonas,Ingrid Kreissig,Robert F. Degenring. Intravitreal triamcinolone acetonide as treatment of macular edema in central retinal vein occlusion[J] 2002,Graefe’s Archive for Clinical and Experimental Ophthalmology(9):782~783
  • 2Taiji Sakamoto,Miho Miyazaki,Toshio Hisatomi,Takao Nakamura,Akifumi Ueno,Keiko Itaya,Tatsuro Ishibashi. Triamcinolone-assisted pars plana vitrectomy improves the surgical procedures and decreases the postoperative blood–ocular barrier breakdown[J] 2002,Graefe’s Archive for Clinical and Experimental Ophthalmology(6):423~429
  • 3Yu-sheng Wang,Ulrike Friedrichs,Wolfram Eichler,Stephan Hoffmann,Peter Wiedemann. Inhibitory effects of triamcinolone acetonide on bFGF-induced migration and tube formation in choroidal microvascular endothelial cells[J] 2002,Graefe’s Archive for Clinical and Experimental Ophthalmology(1):42~48
  • 4Yan-Nian Hui,Hou-Cheng Liang,Yong-Shu Cai,Bernd Kirchhof,Klaus Heimann. Corticosteroids and daunomycin in the prevention of experimental proliferative vitreoretionopathy induced by macrophages[J] 1993,Graefe’s Archive for Clinical and Experimental Ophthalmology(2):109~114

共引文献89

同被引文献27

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