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阈下经瞳孔温热疗法治疗年龄相关性黄斑变性继发的黄斑中心凹下隐匿性脉络膜新生血管

Subthreshold transpupillary thermotherapy for subfoveal occult choroidal neovascularization secondary to age-related macular degeneration.

作者信息

Midena Edoardo, Pilotto Elisabetta, Radin Pietro Paolo, Convento Enrica

机构信息

Department of Ophthalmology, University of Padova, Padova, Italy.

出版信息

Semin Ophthalmol. 2004 Mar-Jun;19(1-2):25-8. doi: 10.1080/08820530490519998.

Abstract

PURPOSE

To describe the long term outcome of patients with subfoveal, occult choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD) treated with subthreshold transpupillary thermotherapy.

METHODS

82 eyes of 82 consecutive patients with subfoveal occult CNV secondary to AMD were treated with subthreshold transpupillary thermotherapy. Best corrected visual acuity, fundus photography, fluorescein and indocyanine green angiography were performed.

RESULTS

All patients have been followed for at least 24 months. At the final follow-up visit, 75.6% of patients had stable or improved visual acuity and 24.4% had worsened visual acuity. No overtreatment side effects were found.

CONCLUSION

Subthreshold transpupillary thermotherapy seems effective in stabilizing visual acuity in patients affected by occult, subfoveal CNV even on a long-term basis.

摘要

目的

描述采用阈下经瞳孔温热疗法治疗年龄相关性黄斑变性(AMD)继发的中心凹下隐匿性脉络膜新生血管(CNV)患者的长期预后。

方法

对82例连续的AMD继发中心凹下隐匿性CNV患者的82只眼进行阈下经瞳孔温热疗法治疗。进行最佳矫正视力、眼底照相、荧光素和吲哚菁绿血管造影检查。

结果

所有患者均随访至少24个月。在最后一次随访时,75.6%的患者视力稳定或提高,24.4%的患者视力恶化。未发现过度治疗的副作用。

结论

阈下经瞳孔温热疗法似乎能有效稳定隐匿性中心凹下CNV患者的视力,即使从长期来看也是如此。

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