孕期增殖性糖尿病视网膜病变的周边视网膜光凝治疗
Peripheral retinal ablation in the treatment of proliferative diabetic retinopathy during pregnancy.
作者信息
Hercules B L, Wozencroft M, Gayed I I, Jeacock J
出版信息
Br J Ophthalmol. 1980 Feb;64(2):87-93. doi: 10.1136/bjo.64.2.87.
Abstract
The course of proliferative diabetic retinopathy involving the optic disc was followed, and the response to peripheral retinal photocoagulation monitored by argon laser in 11 patients during and after 13 pregnancies. Traditional obstetric practice assumes that pregnancy is a stimulus to irreversible progression of proliferative diabetic retinopathy, and that timely abortion and sterilisation are essential in order to achieve control of the neovascular process. Extensive photocoagulation will cause significant regression of neovascular complexes in 63% of cases, and it confers sufficient benefits to make ophthalmic indications for therapeutic abortion and sterilisation no longer tenable.
摘要
对11例患者在13次妊娠期间及之后，跟踪观察了累及视盘的增殖性糖尿病视网膜病变的病程，并通过氩激光监测周边视网膜光凝的反应。传统产科做法认为，妊娠是增殖性糖尿病视网膜病变不可逆进展的刺激因素，及时流产和绝育对于控制新生血管过程至关重要。广泛光凝将使63%的病例中新生血管复合体显著消退，并且它带来了足够的益处，使得治疗性流产和绝育的眼科指征不再成立。
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