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二极管激光光凝治疗糖尿病性黄斑水肿

Diode laser photocoagulation for diabetic macular oedema.

作者信息

Ulbig M W, McHugh D A, Hamilton A M

机构信息

Retinal Diagnostic Department, Moorfields Eye Hospital, London.

出版信息

Br J Ophthalmol. 1995 Apr;79(4):318-21. doi: 10.1136/bjo.79.4.318.

DOI:10.1136/bjo.79.4.318
PMID:7742274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC505092/
Abstract

AIMS

This study aimed to investigate whether diode laser irradiation, which is poorly absorbed by haemoglobin, can induce closure of leaking retinal microvascular lesions in the treatment of diabetic macular oedema.

METHODS

Thirty three eyes with clinically significant diabetic macular oedema were treated with a diode laser. Fundus evaluation before and after treatment included visual acuity, stereoscopic biomicroscopy, colour photographs, and fluorescein angiography.

RESULTS

At a mean period of review of 6 months macular oedema had completely or partially resolved in 27 eyes. Visual acuity improved in three, deteriorated in one, and was unchanged in 29 eyes.

CONCLUSION

Preliminary data suggest that diode laser therapy induces closure of leaking retinal microaneurysms and is effective in the treatment of diabetic macular oedema.

摘要

目的

本研究旨在探讨血红蛋白吸收较差的二极管激光照射在治疗糖尿病性黄斑水肿时能否诱导渗漏性视网膜微血管病变闭合。

方法

对33只患有具有临床意义的糖尿病性黄斑水肿的眼睛进行二极管激光治疗。治疗前后的眼底评估包括视力、立体生物显微镜检查、彩色照片和荧光素血管造影。

结果

在平均6个月的复查期时,27只眼睛的黄斑水肿完全或部分消退。3只眼睛视力改善,1只眼睛视力恶化,29只眼睛视力无变化。

结论

初步数据表明,二极管激光治疗可诱导渗漏性视网膜微动脉瘤闭合,对糖尿病性黄斑水肿治疗有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/a6fc60c1feb1/brjopthal00016-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/0b4fb5dfcd62/brjopthal00016-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/79e5e2f17d11/brjopthal00016-0017-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/8dbaf1461d84/brjopthal00016-0017-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/a6fc60c1feb1/brjopthal00016-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/0b4fb5dfcd62/brjopthal00016-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/79e5e2f17d11/brjopthal00016-0017-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/8dbaf1461d84/brjopthal00016-0017-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b924/505092/a6fc60c1feb1/brjopthal00016-0018-a.jpg

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本文引用的文献

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Graefes Arch Clin Exp Ophthalmol. 1993 Sep;231(9):491-4. doi: 10.1007/BF00921112.
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[Comparative use of diode and argon laser for panretinal photocoagulation in diabetic retinopathy].[二极管激光与氩激光在糖尿病性视网膜病变全视网膜光凝中的对比应用]
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直接光凝治疗视网膜分支静脉阻塞相关难治性黄斑水肿眼中伴有高反射环的微动脉瘤
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The impact of central foveal thickness on the efficacy of subthreshold micropulse yellow laser photocoagulation in diabetic macular edema.中心凹厚度对阈下微脉冲黄色激光光凝治疗糖尿病性黄斑水肿疗效的影响
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