CAJ | 학술논문

目的评价视网膜光凝对糖尿病视网膜病变(DR)患者白内障手术后低视力的治疗效果.方法回顾性分析白内障术后低视力的DR 52例(52眼),根据治疗方法不同分为两组:接受视网膜光凝治疗的26例,为A组;未接受视网膜光凝治疗的26例,为B组.比较两组患者在白内障术后3个月、6个月时的最佳矫正视力(BCVA)和低视力眼数.结果白内障术后3个月时,两组BCVA差异无统计学意义(P＞0.05);术后6个月时,两组BCVA差异有统计学意义(P＜0.05),A组优于B组.A组有低视力15例(57.69％),B组有21例(80.77％).A组有1例(3.85％) DR病情发展,B组有7例(26.92％).结论视网膜光凝可以改善DR患者白内障术后低视力的状态,控制DR病情.
목적 평개시망막광응대당뇨병시망막병변(DR)환자백내장수술후저시력적치료효과.방법 회고성분석백내장술후저시력적DR 52례(52안),근거치료방법불동분위량조:접수시망막광응치료적26례,위A조;미접수시망막광응치료적26례,위B조.비교량조환자재백내장술후3개월、6개월시적최가교정시력(BCVA)화저시력안수.결과 백내장술후3개월시,량조BCVA차이무통계학의의(P＞0.05);술후6개월시,량조BCVA차이유통계학의의(P＜0.05),A조우우B조.A조유저시력15례(57.69％),B조유21례(80.77％).A조유1례(3.85％) DR병정발전,B조유7례(26.92％).결론 시망막광응가이개선DR환자백내장술후저시력적상태,공제DR병정.
Objective To evaluate the efficacy of retinal photocoagulation for low vision of diabetic retinopathy(DR) after cataract surgery.Methods Fifty two eyes of 52 cases with low vision of DR after cataract surgery were analyzed retrospectively in this study.According to different treatment methods,52 cases were randomly divided into two groups.Group A contained 26 cases that had been treated by retinal photocoagulation,the other 26 cases who had not been treated by photocagalation composed group B.The best corrected visual acuity (BCVA) and the numbers of low vision between the two groups were compared at 3 and 6 months after surgery.Results The BCVA of the two groups had no statistically significant difference at the 3 month after surgery (P ＞ 0.05).At the 6 month after surgery,the BCVA in group A was statistically significantly better than that in group B(P ＜0.05).There were 15 cases (57.69％) with low vision and 1 case (3.85％) with DR progressing in group A,and 21 cases (80.77％) with low vision and 7 cases (26.92％) with DR progressing in group B.Conclusion Retinal photocoagulation can improve the condition of low vision and control the DR progression.