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脉络膜新生血管患者管理中的要点。

Important points in management of patients with choroidal neovascularization.

作者信息

Singerman L J

出版信息

Ophthalmology. 1985 May;92(5):610-4. doi: 10.1016/s0161-6420(85)33994-5.

DOI:10.1016/s0161-6420(85)33994-5
PMID:2409503
Abstract

The efficacy of argon blue-green laser treatment for extrafoveal choroidal neovascularization (CNV) in aging macular degeneration, presumed ocular histoplasmosis syndrome and idiopathic choroidal neovascularization has recently been proven by the Macular Photocoagulation Study. These results are applicable only to eyes managed according to certain principles of therapy and post-treatment follow-up. These include the use of a recent fluorescein angiogram and retrobulbar anesthetic, aiming for complete obliteration of the CNV. Meticulous post-treatment follow-up is critical. This includes daily patient monitoring of the Amsler grid, and prompt examinations if distortion is noted. Excellent quality fluorescein angiography is mandatory. This is repeated frequently and studied promptly. Residual or recurrent extrafoveal CNV requires prompt re-treatment.

摘要

黄斑光凝研究最近已证实,氩蓝绿激光治疗老年黄斑变性、疑似眼组织胞浆菌病综合征和特发性脉络膜新生血管所致的黄斑中心凹外脉络膜新生血管(CNV)具有疗效。这些结果仅适用于按照某些治疗原则和治疗后随访进行处理的眼睛。这些原则包括使用近期的荧光素血管造影和球后麻醉,目标是使CNV完全闭塞。精心的治疗后随访至关重要。这包括让患者每天使用阿姆斯勒方格表进行自我监测,如发现变形应立即进行检查。高质量的荧光素血管造影是必不可少的。要经常重复进行并及时分析研究。残留或复发性黄斑中心凹外CNV需要立即再次治疗。

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1
Important points in management of patients with choroidal neovascularization.脉络膜新生血管患者管理中的要点。
Ophthalmology. 1985 May;92(5):610-4. doi: 10.1016/s0161-6420(85)33994-5.
2
Recurrent choroidal neovascularization after argon laser photocoagulation for neovascular maculopathy. Macular Photocoagulation Study Group.
Arch Ophthalmol. 1986 Apr;104(4):503-12. doi: 10.1001/archopht.1986.01050160059012.
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[Laser photocoagulation of occult choroidal neovascularization guided by angiography using indocyanine green. A pilot study].[吲哚菁绿血管造影引导下隐匿性脉络膜新生血管的激光光凝治疗。一项初步研究]
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Indocyanine green angiography for recurrent choroidal neovascularization in age-related macular degeneration.吲哚菁绿血管造影术用于年龄相关性黄斑变性中复发性脉络膜新生血管形成
Ophthalmic Surg Lasers. 1995 Nov-Dec;26(6):513-8.
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[Coagulation therapy of senile macular degeneration. II. Extrafoveal choroid neovascularization].
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Indocyanine green angiography in age-related macular degeneration with occult neovascularization.吲哚菁绿血管造影术在隐匿性新生血管性年龄相关性黄斑变性中的应用
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Surgical management of subfoveal choroidal neovascularization.黄斑下脉络膜新生血管的手术治疗
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Current management of choroidal neovascularization.脉络膜新生血管的当前管理。
Ann Ophthalmol. 1988 Nov;20(11):415-20, 423.

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