摘要
目的.研究氪黄绿激光全视网膜光凝术治疗糖尿病视网膜病变的疗效。方法 :根据眼底荧光血管造影 (FFA)的结果 ,用氪黄绿激光全视网膜光凝术治疗 1998年 3月至 2 0 0 1年 1月在我中心确诊为糖尿病视网膜病变的患者 2 12例 330眼。轻度白内障 95眼 ,轻度白内障伴玻璃体混浊 76眼。随访视力、眼底、FFA。结果 :视力增进 6 2眼占 18.8% ;视力无变化 16 7眼占 5 0 .9% ;视力下降 10 1眼占 30 .6 %。FFA结果有效 2 46眼 ,有效率 74.5 %。需补充光凝 78眼 ,4眼光凝过程中眼底出血 ,改行玻璃体切割手术。结论 :氪黄绿激光全视网膜光凝治疗糖尿病视网膜病变不仅对屈光间质清晰者效果好 。
Objective: To assess the effect of the panretinal photocoagulation with krypton yellow-green laser for diabetic retinopathy. Methods: 330 eyes of 212 patients with diabetic retinopathy were treated with panretinal photocoagulation. There were 95 eyes with low-grade cataract, 76 eyes with low-grade cataract and vitreous opacity. Visual acuity, fundus and FFA were followed up. Results: After panretinal photocoagulation with krypton yellow-green laser, 18.8% (62/330) of the eyes had increased vision, 50.9% (167/330) no changed and the visions in 30.6% (101/330) of the eyes were down. The total effective rate was 74.5%(246/330) according to FFA. 78 eyes required supplementary photocoagulation. 4 eyes had fundus hemorrhage during photocoagulation and vitrectomy was performed. Conclusions: Panretinal photocoagulation with krypton yellow-green laser is a good method, which can gain better effect both for the patients with clear media and for low-grade opacity of media.
出处
《中国实用眼科杂志》
CSCD
北大核心
2001年第10期741-743,共3页
Chinese Journal of Practical Ophthalmology
关键词
氪黄绿激光
全视网膜光凝术
糖尿病
视网膜病变
Krypton yellow-green laser, Panretinal photocoagulation, Diabetic retinopathy