Roohipoor Ramak, Dantism Sina, Ahmadraji Aliasghar, Karkhaneh Reza, Zarei Mohammad, Ghasemi Fariba
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Science, Tehran, Iran.
J Ophthalmol. 2016;2016:9364861. doi: 10.1155/2016/9364861. Epub 2016 Aug 9.
Purpose. To compare subfoveal choroidal, central retinal, and peripapillary nerve fiber layer (RNFL) thickness after panretinal photocoagulation (PRP) with red and green laser in diabetic patients. Study Design. Randomized clinical trial. Methods. A total of 50 patients with bilateral proliferative diabetic retinopathy and no diabetic macular edema underwent PRP. One eye was randomly assigned to red or green laser. Subfoveal choroidal, central retinal, and RNFL thicknesses were evaluated at baseline and 6 weeks after treatment. Results. The mean subfoveal choroidal, central retinal, and peripapillary nerve fiber layer (RNFL) thickness increased significantly in each eye 6 weeks after PRP (P values in red laser group: <0.01, 0.03, and <0.01, resp., and in green laser group <0.01, <0.01, and <0.01). There was no difference between red and green laser considering subfoveal choroidal, central retinal, and peripapillary nerve fiber layer (RNFL) thickness increase after PRP (P values: 0.184, 0.404, and 0.726, resp.). Conclusion. Both red and green lasers increased mean subfoveal choroidal, central retinal, and peripapillary nerve fiber layer (RNFL) thickness significantly 6 weeks after PRP, but there is no difference between these two modalities in this regard.
目的。比较糖尿病患者接受全视网膜光凝(PRP)治疗后,使用红色和绿色激光治疗时,黄斑中心凹下脉络膜、视网膜中央以及视乳头周围神经纤维层(RNFL)的厚度。研究设计。随机临床试验。方法。共有50例双侧增殖性糖尿病视网膜病变且无糖尿病性黄斑水肿的患者接受了PRP治疗。一只眼睛被随机分配接受红色或绿色激光治疗。在基线和治疗后6周评估黄斑中心凹下脉络膜、视网膜中央以及RNFL的厚度。结果。PRP治疗6周后,每只眼睛的黄斑中心凹下脉络膜、视网膜中央以及视乳头周围神经纤维层(RNFL)的平均厚度均显著增加(红色激光组的P值分别为:<0.01、0.03和<0.01,绿色激光组的P值分别为<0.01、<0.01和<0.01)。考虑到PRP治疗后黄斑中心凹下脉络膜、视网膜中央以及视乳头周围神经纤维层(RNFL)厚度的增加,红色和绿色激光之间没有差异(P值分别为:0.184、0.404和0.726)。结论。PRP治疗6周后,红色和绿色激光均显著增加了黄斑中心凹下脉络膜、视网膜中央以及视乳头周围神经纤维层(RNFL)的平均厚度,但在这方面这两种治疗方式之间没有差异。