Chrapek O, Rehák J
Ocní klinika FN a LF UP, Olomouc.
Cesk Slov Oftalmol. 2004 Jan;60(1):45-53.
The authors evaluate the results of argon laser therapy of extrafoveal and juxtafoveal subretinal neovascular membranes in the wet form of age-related macular degeneration. Their experience is evaluated in the group of 24 eyes of 23 patients during the period of observation lasting from 6 to 42 months. It became obvious that in the group of 24 eyes with extrafoveal and juxtafoveal subretinal neovascular membrane the laser photocoagulation cured up the condition in 17 eyes (71%), whereas the therapy failed in 7 eyes (29%). Vision improved in 7 eyes (29%), retained stabilized in 10 eyes (42%), but deteriorated in 7 eyes (29%). Among 11 eyes with extrafoveal subretinal neovascular membrane the authors reached improvement in 10 eyes (90.9%), the therapy failed with one eye (9.1%), the vision improved in 6 eyes (55%), remained stabilized in 4 eyes (36%), but deteriorated in one eye (9%). In 13 eyes with juxtafoveal subretinal neovascular membrane 7 eyes were cured up (54%), the therapy failed in 6 eyes (46%), vision improved in one eye (8%), remained stabilized in 6 eyes (46%), but deteriorated in 6 eyes (46%). Based on the results obtained it has become obvious that laser photocoagulation is a useful method for the therapy of extrafoveal and juxtafoveal subretinal nasovascular membranes in te age-related macular degeneration. Better prognosis has been shown in the extrafoveal subretinal neovascular membrane.
作者评估了氩激光治疗湿性年龄相关性黄斑变性中外中心凹和近中心凹视网膜下新生血管膜的结果。在6至42个月的观察期内,对23例患者的24只眼进行了评估。结果显示,在24只患有外中心凹和近中心凹视网膜下新生血管膜的眼中,激光光凝治愈了17只眼(71%),而7只眼(29%)治疗失败。7只眼(29%)视力提高,10只眼(42%)视力保持稳定,7只眼(29%)视力下降。在11只患有外中心凹视网膜下新生血管膜的眼中,作者使10只眼(90.9%)病情改善,1只眼(9.1%)治疗失败,6只眼(55%)视力提高,4只眼(36%)视力保持稳定,1只眼(9%)视力下降。在13只患有近中心凹视网膜下新生血管膜的眼中,7只眼(54%)治愈,6只眼(46%)治疗失败,1只眼(8%)视力提高,6只眼(46%)视力保持稳定,6只眼(46%)视力下降。根据所获得的结果,很明显激光光凝是治疗年龄相关性黄斑变性中外中心凹和近中心凹视网膜下新生血管膜的一种有效方法。外中心凹视网膜下新生血管膜显示出更好的预后。