摘要
目的 探讨应用氪黄激光行全视网膜光凝治疗伴有白内障的糖尿病视网膜病变的疗效。方法 对 5 2例 ( 96只眼 )增殖前期及增殖早期糖尿病视网膜病变伴有不同类型晶状体混浊的患者 ,对照眼底荧光素血管造影 ,采用氪黄激光进行全视网膜光凝。随访 9～ 12个月 ,每 3个月复查视力及眼底荧光素血管造影 ,分析视力、毛细血管渗漏和新生血管的变化情况。结果光凝后视力进步 68只眼 ( 70 83 % ) ,无变化 2 2只眼 ( 2 2 92 % ) ,减退 6只眼 ( 6 2 5 % ) ;毛细血管渗漏消退 67只眼 ( 69 79% ) ,明显减轻 2 2只眼 ( 2 2 92 % ) ,无变化 5只眼 ( 5 2 1% ) ,加重 2只眼 ( 2 0 8% ) ;新生血管全部萎缩 15只眼 ( 60 0 0 % ) ,部分萎缩 5只眼 ( 2 0 0 0 % ) ,无变化 3只眼 ( 12 0 0 % ) ,加重 2只眼 ( 8 0 0 % )。
Objective To evaluate the efficiency of krypton yellow laser panretinal photocoagulation on diabetic retinopathy with cataract Methods Fifty two patients(96 eyes) with preproliferative and proliferative diabetic retinopathy with cataract were treated with panretinal photocoagulation in contrast to fundus fluorescein angiography(FFA) During the follow up of 9～12 months,patients' visualacuities and FFA were examined every 3 months The changes of vision, capillaryleakage and neovascularization were analysed Results After photocoagulation,vision improved in 68 eyes(70 83%),reduced in 6 eyes(6 25%)and unchanged in 22 eyes(22 92%) Capillary leakage completely resolved in 67 eyes(69 7%),partially resolved in 22 eyes(22 92%),unchanged in 5 eyes(5 21%),and deteriorated in 2 eyes(2 08%). Neovascularization completely atrophied in 16 eyes(64 00%),partially atrophied in 5 eyes(20%),and unchanged in 2 eyes(8 00%) Conclusion Krypton yellow laser photocoagulation is effective in the treatment of diabetic retinopathy with cataract
出处
《山西医科大学学报》
CAS
2002年第1期77-78,共2页
Journal of Shanxi Medical University
