中国伤残医学Issue(10)：21-23,3.
曲安奈德玻璃体腔注射联合激光光凝治疗糖尿病性视网膜病变继发黄斑水肿的临床分析
Intravitreal Triamcinolone Acetonide and Laser Photocoagulation for Diabetic Macular Edema
杨建华 1张琳 1郑利民 1罗立勤 1杜鹏程 1王俊琴1
作者信息
- 1. 包头医学院第一附属医院眼科,内蒙古 包头 014010
- 折叠
摘要
Abstract
Objective:To evaluate the efficiency of IVTA combined with laser photocoagulation for DME. Methods: Thirty eyes of 30 patients with ME diagnosed expecially by FFA and spectra domain OCT, with vision≤0.6 and CMT≥250 μ m, were randomly divided into two groups: the simple laser photocoagulation group (n=15) and the laser combination with IVTA-photocoagulaion group (n=15). Eyes in the combination group were subjected to laser photocoagulation one week after 4 mg IVTA. The BCVA, CMT (by spectra domain OCT) and post operative complications were compared between the two groups. Results:After treatment,BCVA was improved and CMT was reduced in the two groups. BCVA was 0.23±0.14 and 0.36±0.12 at 12 weeks and 0.25±0.13 and 0.38±0.16 at 24 weeks, CMT was 318.4±135.2μm and 270.2±114.7μm at 12 weeks and 308.8±116.5μm and 245±107.9μm at 24 weeks, for the laser photocoagulation group and combined group, respectively (P<0.001).Conclusions:IVTA combined with laser photocoagulation is superior to simple laser photocoagulation in improving BCVA and reducing CMT. CMT can reveal the effect of treatment.关键词
糖尿病视网膜病变/黄斑水肿/曲安奈德/激光光凝/频域OCTKey words
Diabetic retinopathy/Macular edema/Triamcinolone acetonide/Laser photocoagulation/spectra domain OCT分类
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杨建华,张琳,郑利民,罗立勤,杜鹏程,王俊琴..曲安奈德玻璃体腔注射联合激光光凝治疗糖尿病性视网膜病变继发黄斑水肿的临床分析[J].中国伤残医学,2012,(10):21-23,3.
