Zhang Shao-chong, Gao Ru-long, Ding Xiao-yan, Li Chun-fang, Liu Tian
Zhongshan Ophthalmic center, Zhongshan University, Guangzhou 510060, China.
Zhonghua Yan Ke Za Zhi. 2003 Dec;39(12):740-2.
To investigate the effect of vitrectomy combined with full endocular panretinal photocoagulation in patients with late stage of proliferative diabetic retinopathy (PDR).
Pars plana vitrectomy combined with full panretinal photocoagulation were undergone in 56 eyes (56 cases) with late stage of PDR, including 32 eyes with tractive retinal detachment. Preoperative and postoperative visual acuity, anterior segment by slit lamp and fundus examination by indirect ophthalmoscopy, as well as fluorescein angiography (FFA) were analyzed.
Retina were reattached in 52 eyes. Vitreous hemorrhage, retinal bleeding, exudation and neovascular changes were not observed in these eyes. Non-irrigated areas were not found in 28/32 eyes in which FFA examination has been performed. Final visual acuity was improved in 52 eyes.
Full endocular panretinal photocoagulation with low energy is an effective and safe procedure with low rate of complications for the late stage of PDR.
探讨玻璃体切除术联合全视网膜光凝治疗增殖性糖尿病视网膜病变（PDR）晚期患者的效果。
对56例（56眼）PDR晚期患者行玻璃体切除术联合全视网膜光凝，其中32眼合并牵拉性视网膜脱离。分析术前、术后视力、裂隙灯眼前节检查、间接检眼镜眼底检查及荧光素眼底血管造影（FFA）结果。
52眼视网膜复位。这些眼中未观察到玻璃体出血、视网膜出血、渗出及新生血管改变。行FFA检查的32眼中，28眼未见无灌注区。52眼最终视力提高。
低能量全视网膜光凝对PDR晚期患者是一种有效、安全且并发症发生率低的治疗方法。
