摘要
的 探讨老年人非增殖性糖尿病视网膜病变氩激光光凝的临床特点、时效性和疗效。方法 老年人非增殖性糖尿病视网膜病变 ,黄斑水肿组 32只眼 ,非黄斑水肿 2 7只眼。行氩离子兰绿激光光凝。结果 治疗 5 9只眼 (44例 ) ,随访 2 9.98± 11.75个月。激光光凝有效 5 4只眼 (91% ) ,视力进步 7只眼 ,视力不变 42只眼。 0 .2以上视力 42只眼 (71% )。随访期间 5只眼行老年性白内障手术 ,均恢复有用视力 ,眼底无黄斑水肿。结论 老年人非增殖性糖尿病视网膜病变者血糖控制不良及全身性疾病等 ,发生黄斑水肿比例较高 ,应及时施行激光光凝治疗。同时 ,因对侧眼增殖性糖尿病视网膜病变或其它眼底病致低视力时 ,适当放宽激光光凝标准 。
Objective To evaluate the characters its timing and effects of argon laser photocoagulation on non-proliferative diabetic retinopathy in the old patients.Methods 59 eyes (44 cases) were selected for Argon laser photocoagulation:including 32 eyes with macular edema and 27 eyes without macular edema but the fellowing eye sufferied with serious ocular fundus disease.The visual acuity and effects of prep-or postphotocoaguation were recorded and analysed during the period.Few cases after extracting cataract were also studied continuedly.Results The mean period of postoperation follow-up was 29.98±11.75 MOs.The visual acuity was increased,maintained,or decreased 7 eyes,42 eyes and 10 eyes respectively.The photocoagulation was successful for 54 eyes.Conclusion The rate of macular edema is higher in the old patients with non-proliferative diabetic retinopathy because they suffer from poor health,long history of diabetic mellitus,controling difficulty of blood sugar,the complications of diabetic mellitus and cardio-circulation system diseases variously.The macular edema should be photocoagulated promptly.To extend the photocoagulation limits of the nonproliferative retinopathy may be the effective choice when whose visual acuity of fellowing eye is poor,especially it is associated with proliferative diabetic retinopathy or poor general conditions.
出处
《临床眼科杂志》
2001年第2期97-99,共3页
Journal of Clinical Ophthalmology
