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白塞病的光凝治疗经验

Experience with photocoagulation in Behçet's disease.

作者信息

Atmaca L S

机构信息

Retinal Department, Faculty of Medicine, Ankara University, Turkey.

出版信息

Ophthalmic Surg. 1990 Aug;21(8):571-6.

PMID:2234807
Abstract

Between 1973 and 1987 we examined both eyes of 300 patients with the uveoretinitis-type lesions characteristic of Behçet's disease. Of the 556 eyes whose fundus could be examined, 38 eyes (6.8%) in 33 patients (11%) had developed retinal capillary nonperfusion, branch retinal vein occlusion, or retinal or disc neovascularization. These eyes were treated by photocoagulation, primarily to forestall vitreous hemorrhage and the development of neovascular glaucoma, as well as to decrease the macular edema resulting from vein occlusion. The treatment, which was well tolerated, was successful in closing retinal capillary nonperfusion areas and eliminating retinal neovascularization. Disc neovascularization was resolved completely in some cases, and partially in others.

摘要

1973年至1987年间,我们对300例患有白塞病特征性葡萄膜视网膜炎型病变的患者的双眼进行了检查。在556只眼底可检查的眼睛中,33例患者(11%)的38只眼睛(6.8%)出现了视网膜毛细血管无灌注、视网膜分支静脉阻塞或视网膜或视盘新生血管形成。这些眼睛接受了光凝治疗,主要是为了预防玻璃体出血和新生血管性青光眼的发生,以及减轻静脉阻塞导致的黄斑水肿。该治疗耐受性良好,成功封闭了视网膜毛细血管无灌注区域并消除了视网膜新生血管。视盘新生血管在一些病例中完全消退,在另一些病例中部分消退。

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