Kremser B G, Kunze C, Troger J, Ulmer H, Kieselbach G K
Universitätsklinik für Augenheilkunde, Universität Innsbruck, Osterreich.
Ophthalmologica. 1996;210(3):160-2. doi: 10.1159/000310698.
The authors reviewed the data of 226 eyes in 124 patients with clinically significant diabetic macular edema treated by grid pattern photocoagulation from 1986 to 1994 at the Ophthalmological Clinic of Innsbruck University Hospital. On the basis of baseline visual acuity (VA), eyes were classified in four groups: group 1 = VA < 0.1; group 2 = VA 0.1-0.2; group 3 = VA > 0.2-0.5; group 4 = VA > 0.5. The development of VA from the baseline examination until the last checkup in treated eyes is reported. This classification showed a better visual outcome after photocoagulation in eyes with a decreased VA at baseline (groups 1, 2) compared with eyes with a good initial VA (groups 3, 4). The difference in visual outcome between the second and third groups as well as between the third and fourth groups was statistically significant (p < or = 0.001). A correlation of initial VA with visual outcome after treatment was demonstrated (R = -0.558; p = 0.0001). Clinical conclusions of these results are discussed.
作者回顾了1986年至1994年间因临床显著性糖尿病性黄斑水肿在因斯布鲁克大学医院眼科诊所接受格栅样光凝治疗的124例患者的226只眼的数据。根据基线视力（VA），将患眼分为四组：第1组=VA<0.1；第2组=VA 0.1 - 0.2；第3组=VA>0.2 - 0.5；第4组=VA>0.5。报告了治疗眼从基线检查到最后一次检查时视力的变化情况。该分类显示，与初始视力良好的患眼（第3组、第4组）相比，基线视力下降的患眼（第1组、第2组）在光凝治疗后视力改善更好。第二组和第三组以及第三组和第四组之间的视力结果差异具有统计学意义（p≤0.001）。结果表明初始视力与治疗后的视力结果存在相关性（R = -0.558；p = 0.0001）。并对这些结果的临床结论进行了讨论。
