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[糖尿病性视网膜病变:记录、病程评估及光凝治疗的可能性]

[Diabetic retinopathy: documentation, evaluation of its course and possibilities of treatment by photocoagulation].

作者信息

Körner F

出版信息

Schweiz Med Wochenschr. 1976 Jul 31;106(31):1035-40.

PMID:996526
Abstract

Optimal documentation of retinal lesions by panorama fundus photographs is required for evaluation of the course of diabetic retinopathy (DR). The data are prepared for automatic storage and computation. The natural course of DR is occasionally characterized by remarkable spontaneous remissions. Therefore, unilateral treatment is needed to evaluate the efficacy of photocoagulation. The following preliminary results on 215 patients treated unilaterally with Xenon photocoagulation, and followed up for 6 months to 6 years, were statistically significant: marked decrease of intra- and epiretinal vessel new formations, prophylaxis of retinal neovascularization and vitreous hemorrhages, preservation of the macula and retention of visual acuity in diabetics below 60 years of age. The unpredictable rate of progression of DR in individual cases is responsible for occasional failures of photocoagulation.

摘要

为评估糖尿病视网膜病变(DR)的病程,需要通过全景眼底照片对视网膜病变进行最佳记录。数据准备用于自动存储和计算。DR的自然病程偶尔会有显著的自发缓解特征。因此,需要进行单侧治疗以评估光凝治疗的疗效。以下是对215例接受氙光凝单侧治疗并随访6个月至6年的患者的初步结果,具有统计学意义:视网膜内和视网膜前血管新形成明显减少,预防视网膜新生血管形成和玻璃体出血,60岁以下糖尿病患者黄斑的保留和视力的维持。个别病例中DR不可预测的进展速度导致光凝治疗偶尔失败。

相似文献

1
[Diabetic retinopathy: documentation, evaluation of its course and possibilities of treatment by photocoagulation].[糖尿病性视网膜病变:记录、病程评估及光凝治疗的可能性]
Schweiz Med Wochenschr. 1976 Jul 31;106(31):1035-40.
2
Diabetic retinopathy study. Preliminary results from 215 patients treated uniocularly with photocoagulation.糖尿病视网膜病变研究。215名单眼接受光凝治疗患者的初步结果。
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1976 Aug 30;200(2):99-1111. doi: 10.1007/BF00414359.
3
Photocoagulation for diabetic retinopathy.糖尿病视网膜病变的光凝治疗
Mod Probl Ophthalmol. 1972;10:596-608.
4
[Documenting the outcome of photocoagulation for diabetic retinopathy].
Mod Probl Ophthalmol. 1972;10:652-8.
5
Fundus photographic risk factors for progression of diabetic retinopathy. ETDRS report number 12. Early Treatment Diabetic Retinopathy Study Research Group.糖尿病视网膜病变进展的眼底照相危险因素。ETDRS报告第12号。早期治疗糖尿病视网膜病变研究组。
Ophthalmology. 1991 May;98(5 Suppl):823-33.
6
Photocoagulation for diabetic retinopathy.
Am J Ophthalmol. 1971 Feb;71(2):437-45. doi: 10.1016/0002-9394(71)90115-2.
7
Photocoagulation of diabetic maculopathy.
Mod Probl Ophthalmol. 1972;10:609-17.
8
Treatment of proliferative diabetic retinopathy by repeated light coagulation, operations and rest.通过反复光凝、手术及休息治疗增殖性糖尿病视网膜病变。
Isr J Med Sci. 1972 Aug-Sep;8(8):1328-30.
9
Treatment of proliferative diabetic retinopathy by repeated light coagulation. A 7-year review.反复光凝治疗增殖性糖尿病视网膜病变。7年回顾。
Br J Ophthalmol. 1973 Feb;57(2):73-80. doi: 10.1136/bjo.57.2.73.
10
Photocoagulation treatment of proliferative diabetic retinopathy: the second report of diabetic retinopathy study findings.增殖性糖尿病视网膜病变的光凝治疗:糖尿病视网膜病变研究结果的第二篇报告
Ophthalmology. 1978 Jan;85(1):82-106. doi: 10.1016/s0161-6420(78)35693-1.