格栅样激光光凝术治疗葡萄膜炎或 Irvine-Gass 综合征所致黄斑水肿
Grid laser photocoagulation for macular oedema in uveitis or the Irvine-Gass syndrome.
作者信息
Lardenoye C W, van Schooneveld M J, Frits Treffers W, Rothova A
机构信息
Department of Ophthalmology, FC Donders Institute, University Hospital Utrecht, Netherlands.
出版信息
Br J Ophthalmol. 1998 Sep;82(9):1013-6. doi: 10.1136/bjo.82.9.1013.
AIMS
To determine the effect of modified macular grid photocoagulation in patients with refractory macular oedema due to uveitis or cataract extraction.
METHODS
In this study 20 patients with macular oedema underwent modified macular grid laser photocoagulation and were followed by means of standardised examinations (day 0, months 2, 6, and 12) consisting of best corrected visual acuity and fluorescein angiography.
RESULTS
The mean visual acuity increased from 0.16 before to 0.3 after laser treatment (p = 0.013), and fluorescein leakage was significantly reduced (p = 0.005). Visual prognosis was influenced by duration of the uveitis, not by sex or age.
CONCLUSION
Modified macular grid laser photocoagulation had a beneficial effect on macular oedema caused by uveitis or the Irvine-Gass syndrome. A prospective, randomised study is needed to determine the exact place of modified macular grid photocoagulation in the treatment of patients with inflammatory or postsurgical macular oedema.
目的
确定改良黄斑格栅光凝术对葡萄膜炎或白内障摘除术后所致难治性黄斑水肿患者的疗效。
方法
本研究中，20例黄斑水肿患者接受了改良黄斑格栅激光光凝术，并通过标准化检查（第0天、第2、6和12个月）进行随访，检查内容包括最佳矫正视力和荧光素血管造影。
结果
激光治疗后平均视力从术前的0.16提高到0.3（p = 0.013），荧光素渗漏明显减少（p = 0.005）。视力预后受葡萄膜炎病程影响，而非性别或年龄。
结论
改良黄斑格栅激光光凝术对葡萄膜炎或 Irvine - Gass 综合征所致黄斑水肿有有益作用。需要进行一项前瞻性随机研究，以确定改良黄斑格栅光凝术在治疗炎症性或术后黄斑水肿患者中的确切地位。
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