中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
6期
590-593
,共4页
王淑娜%杨连洲%朱艳%黄昌雪%王杰
王淑娜%楊連洲%硃豔%黃昌雪%王傑
왕숙나%양련주%주염%황창설%왕걸
视网膜分支静脉阻塞%激光光凝术%眼底血管造影%光学相干断层扫描
視網膜分支靜脈阻塞%激光光凝術%眼底血管造影%光學相榦斷層掃描
시망막분지정맥조새%격광광응술%안저혈관조영%광학상간단층소묘
Branch retinal vein occlusion%Laser photocoagulation%Fundus fluorescein angiography%Optical coherence tomography
目的 探讨多波长氪激光治疗视网膜分支静脉阻塞(BRVO)合并黄斑囊样水肿的临床疗效.方法 经眼底荧光血管造影(FFA)确诊为视网膜分支静脉阻塞合并黄斑囊样水肿的患者85例85只眼,使用多波长氪离子激光治疗仪进行早期视网膜光凝治疗,光斑反应为Ⅲ级.术后连续随访12个月,对比分析视网膜光凝前及光凝后1个月、3个月、6个月、9个月及12个月的视力、眼底荧光血管造影、视网膜光学相干断层扫描(OCT)的变化情况.结果 与治疗前相比,激光术后1个月,3个月,6个月,9个月及12个月视力提高者分别为41例(48.24%),62例(72.95%),78例(91.76%),76例(89.41%),80例(94.12%);术后1个月,3个月,6个月,9个月及12个月眼底荧光血管造影示治愈的分别为62例(72.94%),73例(85.88%),77例(90.59%),81例(95.29%),82例(96.47%);治疗前黄斑区平均视网膜神经上皮层厚度为(607.89±176.31)μm;治疗后1个月、3个月、6个月、9个月及12个月的平均厚度分别为(502.72±176.32)μm、(420.15±152.40)μm、(352.13±145.21)μm、(348.21 ±138.56)μm、(325.82±127.80)μm.治疗前与治疗后不同时期的视网膜神经上皮层厚度进行t检验,P值均<0.05,差异有统计学意义.结论 氪激光对视网膜分支静脉阻塞合并黄斑囊样水肿的激光治疗有显著疗效,术后6个月病情基本稳定,效果明显.
目的 探討多波長氪激光治療視網膜分支靜脈阻塞(BRVO)閤併黃斑囊樣水腫的臨床療效.方法 經眼底熒光血管造影(FFA)確診為視網膜分支靜脈阻塞閤併黃斑囊樣水腫的患者85例85隻眼,使用多波長氪離子激光治療儀進行早期視網膜光凝治療,光斑反應為Ⅲ級.術後連續隨訪12箇月,對比分析視網膜光凝前及光凝後1箇月、3箇月、6箇月、9箇月及12箇月的視力、眼底熒光血管造影、視網膜光學相榦斷層掃描(OCT)的變化情況.結果 與治療前相比,激光術後1箇月,3箇月,6箇月,9箇月及12箇月視力提高者分彆為41例(48.24%),62例(72.95%),78例(91.76%),76例(89.41%),80例(94.12%);術後1箇月,3箇月,6箇月,9箇月及12箇月眼底熒光血管造影示治愈的分彆為62例(72.94%),73例(85.88%),77例(90.59%),81例(95.29%),82例(96.47%);治療前黃斑區平均視網膜神經上皮層厚度為(607.89±176.31)μm;治療後1箇月、3箇月、6箇月、9箇月及12箇月的平均厚度分彆為(502.72±176.32)μm、(420.15±152.40)μm、(352.13±145.21)μm、(348.21 ±138.56)μm、(325.82±127.80)μm.治療前與治療後不同時期的視網膜神經上皮層厚度進行t檢驗,P值均<0.05,差異有統計學意義.結論 氪激光對視網膜分支靜脈阻塞閤併黃斑囊樣水腫的激光治療有顯著療效,術後6箇月病情基本穩定,效果明顯.
목적 탐토다파장극격광치료시망막분지정맥조새(BRVO)합병황반낭양수종적림상료효.방법 경안저형광혈관조영(FFA)학진위시망막분지정맥조새합병황반낭양수종적환자85례85지안,사용다파장극리자격광치료의진행조기시망막광응치료,광반반응위Ⅲ급.술후련속수방12개월,대비분석시망막광응전급광응후1개월、3개월、6개월、9개월급12개월적시력、안저형광혈관조영、시망막광학상간단층소묘(OCT)적변화정황.결과 여치료전상비,격광술후1개월,3개월,6개월,9개월급12개월시력제고자분별위41례(48.24%),62례(72.95%),78례(91.76%),76례(89.41%),80례(94.12%);술후1개월,3개월,6개월,9개월급12개월안저형광혈관조영시치유적분별위62례(72.94%),73례(85.88%),77례(90.59%),81례(95.29%),82례(96.47%);치료전황반구평균시망막신경상피층후도위(607.89±176.31)μm;치료후1개월、3개월、6개월、9개월급12개월적평균후도분별위(502.72±176.32)μm、(420.15±152.40)μm、(352.13±145.21)μm、(348.21 ±138.56)μm、(325.82±127.80)μm.치료전여치료후불동시기적시망막신경상피층후도진행t검험,P치균<0.05,차이유통계학의의.결론 극격광대시망막분지정맥조새합병황반낭양수종적격광치료유현저료효,술후6개월병정기본은정,효과명현.
Objective To evaluate the curative effect of laser photocoagulation in the treatment of branch retinal vein occlusion (BRVO) and cystoids macular edema.Methods A total of 85 patients (85 eyes) with branch retinal vein occlusion (BRVO) and cystoids macular edema diagnosed by fundus fluorescein angiography (FFA) were treated by laser photocoagulation with 3 class spot reaction.The period of follow-up was 12 months.The visual acuity, FFA, optical coherence tomography (OCT) were analyzed comparatively before photocoagulation and 1 month, 3 months, 6 months, 9 months and 12 months after photocoagulation.Results The visual acuity after photocoagulation of 1 month, 3 months, 6 months, 9 months and 12 months were improved 41 (48.24%) eyes, 62 (72.95%), 78 (91.76%), 76 (89.41%) and 80 (94.12%) respectively.The cured patients showed by FFA after photocoagulation of 1 month, 3 months, 6 months, 9 months and 12 months were 62(72.94%) eyes, 73 (85.88%), 77 (90.59%), 81 (95.29%) and 82 (96.47%) respectively.The thickness of RNL before treatment was (607.89± 176.31) um, while which at 1 month, 3 months, 6 months, 9 months and 12months after treatment were (502.72± 176.32) m, (420.15± 152.40) m, (352.13± 145.21) m, (348.21±138.56) m, and (325.82± 127.80) m respectively.Compared the RNL of the different periods of the post treatment and before treatment, the difference was significance (P <0.05).Conclusions Krypton laser photocoagulation is obviously effective on treatment of branch retinal vein occlusion and cystoids macular edema,and it is stable 6 months after laser photocoagulation.
