糖尿病性视网膜病变激光治疗的视觉效果。

Visual outcome of laser treatment in diabetic retinopathy.

作者信息

Shrestha S, Karki D B, Byanju R, Malla O K, Shrestha S M, Pradhananga C L

机构信息

Nepal Eye Hospital, Kathmandu, Nepal.

出版信息

Kathmandu Univ Med J (KUMJ). 2007 Jan-Mar;5(1):72-80.

DOI:
Abstract

OBJECTIVE

To determine the visual outcome of laser treatment in diabetic retinopathy.

DESIGN

Prospective, non-comparative case series.

MATERIALS AND METHODS

A total of 80 eyes of 50 patients with diabetic retinopathy in different stages were photocoagulated using diode green laser. Focal laser only was given in 46 eyes and pan retinal photocoagulation only was given in 29 eyes while 3 eyes received focal laser and pan retinal photocoagulation. One eye was given grid laser only and one eye received both grid and focal laser. The best corrected visual acuity was noted and fundus examination was carried out prior to laser therapy and at the last follow-up and results were compared.

RESULTS

Non- proliferative diabetic retinopathy was present in 76%. Following laser treatment, best corrected visual acuity improved in 52.50%, remained static in 35% and deteriorated in 12.5%. Maculopathy improved in 52%, remained static in 6% and deteriorated in 2% in right eyes while there was no maculopathy in 40% in right eyes. Similarly, maculopathy improved in 38% and remained same in 10% while 52% had no maculopathy in left eyes. After laser treatment, NVD (OD) regressed in 6% and remained unchanged in 4%. Similarly, NVE (OD) regressed in 18% and remained unchanged in 4% and NVE (OS) regressed in 18% and remained unchanged in 2% following laser therapy.

CONCLUSION

Timely and adequate laser treatment helps in saving the vision in patients with diabetic retinopathy.

摘要

目的

确定糖尿病性视网膜病变激光治疗的视力预后。

设计

前瞻性、非对照病例系列。

材料与方法

使用二极管绿激光对50例不同阶段糖尿病性视网膜病变患者的80只眼进行光凝治疗。46只眼仅行局灶性激光治疗,29只眼仅行全视网膜光凝,3只眼同时接受局灶性激光和全视网膜光凝。1只眼仅行格栅样激光治疗,1只眼同时接受格栅样激光和局灶性激光治疗。记录最佳矫正视力,并在激光治疗前及最后一次随访时进行眼底检查,比较结果。

结果

76%为非增殖性糖尿病性视网膜病变。激光治疗后,最佳矫正视力提高的占52.50%,保持稳定的占35%,恶化的占12.5%。右眼黄斑病变改善的占52%,保持稳定的占6%,恶化的占2%,40%的右眼无黄斑病变。同样,左眼黄斑病变改善的占38%,保持不变的占10%,52%的左眼无黄斑病变。激光治疗后,右眼视盘新生血管(NVD)消退的占6%,保持不变的占4%。同样,右眼视网膜新生血管(NVE)消退的占18%,保持不变的占4%,左眼NVE消退的占18%,激光治疗后保持不变的占2%。

结论

及时、充分的激光治疗有助于挽救糖尿病性视网膜病变患者的视力。

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