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抑制与糖尿病性视网膜病变相关的活动性虹膜新生血管形成所需的视网膜光凝最佳面积。

Optimal area of retinal photocoagulation necessary for suppressing active iris neovascularisation associated with diabetic retinopathy.

作者信息

Shiraya Tomoyasu, Kato Satoshi, Shigeeda Takashi

机构信息

Department of Ophthalmology, Graduate School of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

出版信息

Int Ophthalmol. 2014 Oct;34(5):1115-7. doi: 10.1007/s10792-013-9802-y. Epub 2013 Jun 1.

DOI:10.1007/s10792-013-9802-y
PMID:23729310
Abstract

To determine the optimal area of retinal photocoagulation required for suppressing active neovascularisation (NVI) associated with diabetic retinopathy. We studied 1 eye each of 4 patients in whom active NVI was ophthalmoscopically shown to have been suppressed by additional photocoagulation. These patients initially underwent pan-retinal photocoagulation for diabetic retinopathy at another hospital, but NVI developed subsequently. We compared the areas of photocoagulation before and after additional photocoagulation and compared the area of retinal photocoagulation. The photocoagulated areas before and after additional photocoagulation in the four eyes were 20.7 and 45.2, 36.6 and 56.3, 30.4 and 67.4, and 11.7 and 53.4 %, respectively. The area of retinal photocoagulation required to suppress active NVI is calculated to be ~50 %.

摘要

为确定抑制与糖尿病性视网膜病变相关的活动性新生血管形成(NVI)所需的视网膜光凝最佳面积。我们研究了4例患者的各1只眼,这些患者经眼底镜检查显示,额外的光凝已抑制了活动性NVI。这些患者最初在另一家医院接受了糖尿病性视网膜病变的全视网膜光凝,但随后出现了NVI。我们比较了额外光凝前后的光凝面积,并比较了视网膜光凝面积。4只眼中额外光凝前后的光凝面积分别为20.7%和45.2%、36.6%和56.3%、30.4%和67.4%、11.7%和53.4%。据计算,抑制活动性NVI所需的视网膜光凝面积约为50%。

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1
Optimal area of retinal photocoagulation necessary for suppressing active iris neovascularisation associated with diabetic retinopathy.抑制与糖尿病性视网膜病变相关的活动性虹膜新生血管形成所需的视网膜光凝最佳面积。
Int Ophthalmol. 2014 Oct;34(5):1115-7. doi: 10.1007/s10792-013-9802-y. Epub 2013 Jun 1.
2
Optimal area of retinal photocoagulation necessary for suppressing active iris neovascularization associated with diabetic retinopathy.
Int Ophthalmol. 2015 Apr;35(2):155-6. doi: 10.1007/s10792-014-0035-5. Epub 2015 Jan 10.
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[Trabeculectomy preceded by retinal panphotocoagulation in the treatment of secondary glaucoma with rubeosis iridis].视网膜全光凝术前小梁切除术治疗虹膜红变继发性青光眼
Klin Oczna. 1989 Jul-Sep;91(7-9):199-200.
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Iris neovascularization after central retinal artery obstruction despite previous panretinal photocoagulation for diabetic retinopathy.尽管之前已对糖尿病性视网膜病变进行了全视网膜光凝治疗,但视网膜中央动脉阻塞后仍出现虹膜新生血管。
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The efficacy of panretinal photocoagulation for neovascularization of the iris after central retinal artery obstruction.全视网膜光凝治疗视网膜中央动脉阻塞后虹膜新生血管的疗效。
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引用本文的文献

1
Optimal area of retinal photocoagulation necessary for suppressing active iris neovascularization associated with diabetic retinopathy.
Int Ophthalmol. 2015 Apr;35(2):155-6. doi: 10.1007/s10792-014-0035-5. Epub 2015 Jan 10.

本文引用的文献

1
Progressive enlargement of scattered photocoagulation scars in diabetic retinopathy.糖尿病性视网膜病变中散在光凝瘢痕的进行性扩大。
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Comparison between efficacy of full- and mild-scatter (panretinal) photocoagulation on the course of diabetic rubeosis iridis.
Ophthalmologica. 1993;207(3):144-7. doi: 10.1159/000310421.
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Photocoagulation treatment of proliferative diabetic retinopathy: the second report of diabetic retinopathy study findings.增殖性糖尿病视网膜病变的光凝治疗:糖尿病视网膜病变研究结果的第二篇报告
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