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增殖性糖尿病视网膜病变对氙弧光凝治疗的反应。一项多中心随机对照试验。第二次中期报告。

Response of proliferative diabetic retinopathy to xenon-arc photocoagulation. A multicentre randomized controlled trial. Second interim report.

作者信息

Cheng H

出版信息

Trans Ophthalmol Soc U K (1962). 1976 Jul;96(2):224-7.

PMID:797067
Abstract

Patients with proliferative diabetic retinopathy had one eye chosen by a randomization procedure to have treatment by xenon-arc photocoagulation. 100 patients were followed for at least 1 year, 58 patients for 2 years, and 23 for 3 years. The patients form roughly two equal subgroups: those with new vessels on both optic discs and those without new vessels on either disc. There was a significant difference between the visual acuity of the treated and the untreated eyes in the former group, i.e. with disc new vessels, after 1, 2, and 3 years, but there was no difference in the latter group. Eleven patients were blind in one or both eyes for two consecutive yearly assessments. No treated eye became blind without concomitant blindness in the fellow eye but eight untreated eyes did so. This difference was statistically significant.

摘要

增殖性糖尿病视网膜病变患者通过随机程序选择一只眼睛接受氙弧光凝治疗。100名患者随访至少1年,58名患者随访2年,23名患者随访3年。患者大致分为两个相等的亚组:双眼视盘均有新生血管的患者和双眼视盘均无新生血管的患者。在1年、2年和3年后,前一组(即视盘有新生血管的患者)中,治疗眼和未治疗眼的视力存在显著差异,但后一组中无差异。有11名患者在连续两年的评估中一只或两只眼睛失明。没有一只治疗眼在对侧眼未失明的情况下单独失明,但有8只未治疗眼出现这种情况。这种差异具有统计学意义。

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