中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
12期
1562-1565
,共4页
陶相宜%郭淑玲%乔志艳%董志军
陶相宜%郭淑玲%喬誌豔%董誌軍
도상의%곽숙령%교지염%동지군
视网膜颞上分支静脉阻塞%激光光凝%视野%多焦视网膜电图
視網膜顳上分支靜脈阻塞%激光光凝%視野%多焦視網膜電圖
시망막섭상분지정맥조새%격광광응%시야%다초시망막전도
Superior temporal branch retinal vein occlusion%Laser photocoagulation%Perimetry%Multifocal electroretinogram
目的 观察视网膜颞上分支静脉阻塞合并黄斑水肿患者激光光凝前后视网膜功能变化.方法 对2009年1月至2010年2月在承德医学院附属医院眼科就诊的32例(32只眼)视网膜颞上分支静脉阻塞合并黄斑水肿患者实施激光光凝治疗,对其光凝术前与术后1个月、3个月和6个月的视野及多焦视网膜电图进行定量研究.结果 中心凹、中心10°的视野平均光敏感度在光凝前后差异均无统计学意义(P＞0.05);旁中心10°～30°范围的视野光敏感度光凝后1个月比光凝前下降(P＜0.01),光凝后3个月、6个月时与光凝前差异比较无统计学意义(P＞0.05).颞上象限视网膜平均光敏感度光凝后1个月、3个月下降,与光凝前差异比较均存在统计学意义(P＜0.05),光凝后6个月与光凝前比较差异无统计学意义(P＞0.05).颞上象限视网膜P1波振幅密度值在治疗后1个月与光凝治疗前相比下降,差异存在统计学意义(P＜0.05),光凝后3个月、6个月与光凝前比较差异无统计学意义(P＞0.05).结论 激光光凝治疗视网膜颞上分支静脉阻塞合并黄斑水肿可以有效保护中心视功能,但对光凝区域视网膜功能的影响是一个渐进的、损伤再修复的过程.
目的 觀察視網膜顳上分支靜脈阻塞閤併黃斑水腫患者激光光凝前後視網膜功能變化.方法 對2009年1月至2010年2月在承德醫學院附屬醫院眼科就診的32例(32隻眼)視網膜顳上分支靜脈阻塞閤併黃斑水腫患者實施激光光凝治療,對其光凝術前與術後1箇月、3箇月和6箇月的視野及多焦視網膜電圖進行定量研究.結果 中心凹、中心10°的視野平均光敏感度在光凝前後差異均無統計學意義(P＞0.05);徬中心10°～30°範圍的視野光敏感度光凝後1箇月比光凝前下降(P＜0.01),光凝後3箇月、6箇月時與光凝前差異比較無統計學意義(P＞0.05).顳上象限視網膜平均光敏感度光凝後1箇月、3箇月下降,與光凝前差異比較均存在統計學意義(P＜0.05),光凝後6箇月與光凝前比較差異無統計學意義(P＞0.05).顳上象限視網膜P1波振幅密度值在治療後1箇月與光凝治療前相比下降,差異存在統計學意義(P＜0.05),光凝後3箇月、6箇月與光凝前比較差異無統計學意義(P＞0.05).結論 激光光凝治療視網膜顳上分支靜脈阻塞閤併黃斑水腫可以有效保護中心視功能,但對光凝區域視網膜功能的影響是一箇漸進的、損傷再脩複的過程.
목적 관찰시망막섭상분지정맥조새합병황반수종환자격광광응전후시망막공능변화.방법 대2009년1월지2010년2월재승덕의학원부속의원안과취진적32례(32지안)시망막섭상분지정맥조새합병황반수종환자실시격광광응치료,대기광응술전여술후1개월、3개월화6개월적시야급다초시망막전도진행정량연구.결과 중심요、중심10°적시야평균광민감도재광응전후차이균무통계학의의(P＞0.05);방중심10°～30°범위적시야광민감도광응후1개월비광응전하강(P＜0.01),광응후3개월、6개월시여광응전차이비교무통계학의의(P＞0.05).섭상상한시망막평균광민감도광응후1개월、3개월하강,여광응전차이비교균존재통계학의의(P＜0.05),광응후6개월여광응전비교차이무통계학의의(P＞0.05).섭상상한시망막P1파진폭밀도치재치료후1개월여광응치료전상비하강,차이존재통계학의의(P＜0.05),광응후3개월、6개월여광응전비교차이무통계학의의(P＞0.05).결론 격광광응치료시망막섭상분지정맥조새합병황반수종가이유효보호중심시공능,단대광응구역시망막공능적영향시일개점진적、손상재수복적과정.
Objective To observe changes in retinal function before and after laser photocoagulation for superior temporal branch retinal vein occlusion.Methods Implemented laser photocoagulation to 32 cases (32 eyes) superior temporal branch retinal vein occlusion patients; before treatment,after a month,three months and six months visual field and multifocal electroretinogram were researched quantitatively.Results The fovea,central 10° visual field mean light sensitivity before and after photocoagulation were not statistically different (P ＞0.05); near the center of 11°～30° range mean light sensitivity a month after photocoagulation descended (P ＜0.01),three months,six months later were no statistical difference compared with that before treatment (P ＞0.05).Superior temporal quadrant mean light sensitivity declined one month,three months after photocoagulation (P ＜0.05),had no statistical difference six months later (P ＞0.05).Amplitude density of P1 wave in superior temporal quadrant dropped a month after photocoagulation (P ＜0.05),three months,six months later had no statistical difference with that of before treatment (P ＞0.05).Conclusions Laser photocoagulation can effectively protect the central visual function of superior temporal branch retinal vein occlusion,but the effect on retinal function of photocoagulation region should undergo a gradual,injury and repair process.
