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雷珠单抗玻璃体腔注射联合黄斑格栅光凝治疗视网膜分支静脉阻塞性黄斑水肿的临床观察

邵玲 杜敏 海金秀 闫淑 刘钰 高雪霞

中国医学创新Issue(3):18-21,4.
中国医学创新Issue(3):18-21,4.DOI:10.3969/j.issn.1674-4985.2016.03.006

雷珠单抗玻璃体腔注射联合黄斑格栅光凝治疗视网膜分支静脉阻塞性黄斑水肿的临床观察

The Clinical Observation of Ranibizumab Intravitreous Injection Combination with Grid Laser Photocoagulation for Branch Retinal Vein Occlusion Macular Edema Secondary

邵玲 1杜敏 1海金秀 1闫淑 1刘钰 1高雪霞1

作者信息

  • 1. 郑州市第二人民医院,郑州市眼科医院 河南 郑州450006
  • 折叠

摘要

Abstract

Objective: To investigate the effectiveness of combined therapy of intravitreal injection of Ranibizumab and macular grid laser photocoagulation for macular edema(ME) secondary to branch retinal vein occlusion(BRVO).Method:44 patients (44 eyes) of BRVO with ME were enrolled in this study. All the patients were examined for visual acuity, slit lamp microscope, direct opthalmoscope, intraocular pressure, fundus color photography, fundus fluorescein angiography(FFA) and optical coherence tomography(OCT). The patients were divided into two groups by different treatments: trial group(22 eyes) received intravitreal injection of Ranibizumab combined with grid laser photocoagulation, and control group (22 eyes) received laser photocoagulation only. The same equipment and methods were used to return visit in follow-up period. The visual acuity, macular retinal thickness(CRT) were followed up. The time of 6 months was considered as the judgment time for the therapeutic effects.Result:The difference of effective rate in visual acuity between the trial group (63.6%) and the control group(31.8%) was significant (P<0.05). CRT of the trial group and the control group decreased by (126.2±54.6), (60.7±21.6)μm after treatment, the differences had statistically significant (t=9.98, 11.00,P<0.05).Conclusion: In the treatment for macular edema secondary to BRVO, intravitreal injection of Ranibizumab combined with macular grid laser photocoagulation could improve visual function and relieve macular edema.

关键词

视网膜静脉阻塞/雷珠单抗/激光光凝

Key words

Retinal vein occlusion/Ranibizumab/Laser coagulation

引用本文复制引用

邵玲,杜敏,海金秀,闫淑,刘钰,高雪霞..雷珠单抗玻璃体腔注射联合黄斑格栅光凝治疗视网膜分支静脉阻塞性黄斑水肿的临床观察[J].中国医学创新,2016,(3):18-21,4.

基金项目

河南省科技攻关项目资助 ()

中国医学创新

1674-4985

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