国际眼科杂志2016,Vol.16Issue(4):712-715,4.DOI:10.3980/j.issn.1672-5123.2016.4.31
PASCAL激光一次性全视网膜光凝治疗增殖性糖尿病视网膜病变
Clinical observation of one time short -pulse pattern scan laser pan - retinal photocoagulation for proliferative diabetic retinopathy
摘要
Abstract
AlM: To investigate the clinical efficacy and benefit of short - pulse pattern scan laser ( PASCAL ) photocoagulation for proliferative diabetic retinopathy ( PDR) .METHODS: Twenty - eight PDR patients ( 42 eyes ) underwent short - pulse PASCAL pan - retinal photocoagulation ( PRP ) were analyzed. The best corrected visual acuity was ≥0. 1 in 36 eyes, <0. 1 in 6 eyes. Diabetic macular edema ( DME ) was found in 11 eyes. Short - pulse PASCAL PRP was performed and completed in one time. Macular edema was treated by single spot and/or PASCAL macular mode. Visual acuity, fundus examinations, fundus fluorescein angiography ( FFA ) , optical coherence tomography ( OCT ) and visual field were analyzed at the one-year follow-up period.RESULTS: All the cases had no pain during the short-pulse PASCAL treatment . One year after treatments, the final visual acuity was improved in 6 eyes,kept stable in 28 eyes and decreased in 8 eyes;neovascularization were regressed in 18 eyes ( 43%) , stable in 12 eyes ( 29%) ,uncontrolled in 12 eyes ( 29%) . Five eyes ( 12%) received vitrectomy due to vitreous hemorrhage. Compared with before operation, retina thickness in central fovea of macula and visual field had no obvious change after one-time PASCAL PRP(P>0. 05).CONCLUSlON:The one-time short-pulse PASCAL PRP could stabilize the progress of PDR safely, effectively and simply.关键词
增殖性糖尿病视网膜病变/治疗/PASCAL模式扫描光凝/激光凝固术Key words
proliferative diabetic retinopathy/therapy/short - pulse pattern scan laser photocoagulation/laser coagulation引用本文复制引用
刘新,邹吉新,张立军,刘宗明,王海波,胡桂荣,崔明月..PASCAL激光一次性全视网膜光凝治疗增殖性糖尿病视网膜病变[J].国际眼科杂志,2016,16(4):712-715,4.基金项目
大连市科技局项目(No.2013E15SF158)@@@@Science and Technology Bureau Project of Dalian (No.2013E15SF158) (No.2013E15SF158)