中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
11期
1342-1344
,共3页
王敏%王升%许淑云%王润生%刘萱%陈小瑾%张娟娟%马文婷%杨永明%成红英
王敏%王升%許淑雲%王潤生%劉萱%陳小瑾%張娟娟%馬文婷%楊永明%成紅英
왕민%왕승%허숙운%왕윤생%류훤%진소근%장연연%마문정%양영명%성홍영
氩激光%类经瞳孔温热疗法%黄斑脉络膜新生血管
氬激光%類經瞳孔溫熱療法%黃斑脈絡膜新生血管
아격광%류경동공온열요법%황반맥락막신생혈관
Argon laser%Choroidal neovascularization(CNV)of macular area
目的 观察氩激光类经瞳孔温热疗法治疗黄斑脉络膜新生血管性疾病(CNV)的疗效和安全性.方法 选择眼科中心2年间确诊为黄斑脉络膜新生血管病并接受氩激光治疗的患者55例(59只眼),观察治疗前后最佳矫正视力、眼底荧光血管造影(FFA)、光相干断层扫描(OCT)的改变情况,以及并发症、复发率并对其结果进行分析.结果 所有患者均经氩绿激光治疗(83.05％治疗1次、16.95％治疗2次).术后随访6～20月,最佳矫正视力提高者21只眼(35.59％),视力稳定者35只眼(59.32％),3只眼(5.08％)视力下降.FFA、OCT显示CNV萎缩、渗出性视网膜脱离、出血性视网膜色素上皮脱离及黄斑水肿吸收,仅有2只眼(3.39％)出现暗点,但不影响视物,无其他并发症出现.结论 氩激光治疗黄斑脉络膜新生血管性疾病安全有效,可使CNV萎缩,出血部位血管闭锁,进而视网膜内积液、积血及视网膜下液吸收,提高或保存患者视力,且经济,被接受范围广.
目的 觀察氬激光類經瞳孔溫熱療法治療黃斑脈絡膜新生血管性疾病(CNV)的療效和安全性.方法 選擇眼科中心2年間確診為黃斑脈絡膜新生血管病併接受氬激光治療的患者55例(59隻眼),觀察治療前後最佳矯正視力、眼底熒光血管造影(FFA)、光相榦斷層掃描(OCT)的改變情況,以及併髮癥、複髮率併對其結果進行分析.結果 所有患者均經氬綠激光治療(83.05％治療1次、16.95％治療2次).術後隨訪6～20月,最佳矯正視力提高者21隻眼(35.59％),視力穩定者35隻眼(59.32％),3隻眼(5.08％)視力下降.FFA、OCT顯示CNV萎縮、滲齣性視網膜脫離、齣血性視網膜色素上皮脫離及黃斑水腫吸收,僅有2隻眼(3.39％)齣現暗點,但不影響視物,無其他併髮癥齣現.結論 氬激光治療黃斑脈絡膜新生血管性疾病安全有效,可使CNV萎縮,齣血部位血管閉鎖,進而視網膜內積液、積血及視網膜下液吸收,提高或保存患者視力,且經濟,被接受範圍廣.
목적 관찰아격광류경동공온열요법치료황반맥락막신생혈관성질병(CNV)적료효화안전성.방법 선택안과중심2년간학진위황반맥락막신생혈관병병접수아격광치료적환자55례(59지안),관찰치료전후최가교정시력、안저형광혈관조영(FFA)、광상간단층소묘(OCT)적개변정황,이급병발증、복발솔병대기결과진행분석.결과 소유환자균경아록격광치료(83.05％치료1차、16.95％치료2차).술후수방6～20월,최가교정시력제고자21지안(35.59％),시력은정자35지안(59.32％),3지안(5.08％)시력하강.FFA、OCT현시CNV위축、삼출성시망막탈리、출혈성시망막색소상피탈리급황반수종흡수,부유2지안(3.39％)출현암점,단불영향시물,무기타병발증출현.결론 아격광치료황반맥락막신생혈관성질병안전유효,가사CNV위축,출혈부위혈관폐쇄,진이시망막내적액、적혈급시망막하액흡수,제고혹보존환자시력,차경제,피접수범위엄.
Objective To study the argon laser treating choroidal neovascularization(CNV)of macular area by the way similar to transpupilary thermotherapy,and to observe its therapeutic effect and safety.Methods Fifty-five cases(59 eyes)diagnosed as CNV of macular area and treated with argon laser therapy were collected in our Department of Ophthalmology for 2 years.The changes of the best corrected visual acuity(BCVA),fluorescence fundus angiography(FFA)and Optical Coherence Tomography(OCT),the complication and the recurrence rate were observed pre and post treatment.And the results were analyzed by the method of statistics.Results All patients were treated with argon laser(83.05％ was treated 1 time,16.95％ was treated 2 times).The postoperative follow-up of 6 to 20 months revealed that the BCVA improved in 21 eyes(35.59％),remained unaltered in 35 eyes(59.32％)and diminished in 3 eyes(5.08％).FFA,OCT showed that CNV atrophy,exudative detachment of retina,hemorrhagic retinal pigment epithelium detachment and macular edema resolution,but blindspot not affected vision occurred in 2 eyes(3.39％)without the other complication appeared.Conclusions Argon laser therapy treated CNV of macular area is safe and effective,which makes CNV atrophy,blood vessel atresia in bleeding part,further intraretina fluid and haematocele and subretinal fluid absorption.Patient's vision is improved and conserved,and it is economy and accepted generally.
