氩激光治疗糖尿病视网膜病变临床观察.pdfVIP

实用防盲技术2007年8月第2卷第3期 ·27 - ·I古踌 _W r丸 · 氮激 光治疗糖 尿病 视 网膜病 变 的临床 观 察 刘伦 张晓峰 李寿玲 卫修玲 幽要] 目的观察氮激光治疗糖尿病视网膜病变的疗效。方法2003/2005年在我院行I 离子激光全视网膜光凝 (PRP ) 治疗 糖尿病视网膜病变患者13()1列( 185眼) ，其中重度非增生期77眼，增生期108眼。术后随访1一1.5年，行视力、眼底、眼压、 荧光素眼底血管造影检查，对新生血管未消退 、荧光素渗漏以及仍存在无灌注区者 ，补充光凝。对氢激光治疗糖尿病视网膜 病变的疗效进行回顾性总结和分析。结果重度非增生期组有效率80.5% ，视力提高和不变的比例达86% 。增生期组有效率 68.5% ，视力提高和不变的比例达85%。结论氢离子激光光凝治疗糖尿病视网膜病变安全可靠，可以有效预防患者视力丧失。 [关键词] 氨激光; 激光光凝术; 糖尿病视网膜病变 Clinical ob er vation of tr eat ing diabetic r etinopathy with ar gon la er p hot ocoagulation on diabetic r etin op athy “叹un. Zi4NGXiao1PUr. LI Shou/ 1h, li}El X/a/ Io.DPp }n/ Op/ }halinuln}r,ThPF r..}All Yla}r dHn..plta/ olAnl uiMri/loa/ Ilniver ify , M-A 了23‘0022 , 6hhj ha [Ab tract] Obj ective To inve tigate the therapeutic outcome of argon la er photocoagulation on diabetic retinopathy (DRP). Method A total of 130 DR ca e (185 eye ) were treated with argon la er photocoagulation in our ho pital from 2003 to 2005, all patient were followed up from 1to 1.5 year after treatment, vi ual acuity, 10P, fund and FFA were examined pre- operatively and po t- operatively. The therapeutic outcome of argon la er photocoagulation were retro pective analyzed. Re ult vi ion improved or re mained unchanged were re pectively in 86% of even NPDR patient and 85% of PDR patient ; The follow- up of fund and FFA indicated that the eff ective rate were re pectively 80.5% of evere NPDR patient and 68.5% of PDR patient . Conclu ion Argon lager coagulation i an eff ective and afe method in the treatment of diabeticretinopathy. [Key wor d ] Argon la er ; La er photoenagrdaton ; Diabetic retinopathy 糖尿病视网膜病变 ( diabetic retinopathy, DRP分期标准进行诊断，’‘。 DRP ) 是发达国家导致失明的主要眼病之一。随 重度非增生性DRP诊断标准 : 根据4- 2- 1法 着我国人民平均寿命的不断延长 ，糖尿病引起 的 则: 4个象限每个