激光光凝治疗糖尿病视网膜病变疗效观察

Therapeutic efficacy of retinal photocoagulation for diabetic retinopathy

目的探讨激光光凝治疗糖尿病视网膜病变(DR)的治疗效果。方法 89例(178只眼)DR患者行激光光凝治疗后,定期观察视力,进行眼底及荧光素眼底血管造影(FFA)检查,记录眼底新生血管、视网膜出血渗出、玻璃体积血等情况,观察4个月至2年。结果激光治疗1个月后视力提高≥2行69只眼(38.7%),无变化63只眼(35.3%),视力下降≥2行35只眼(26%)。视网膜及视盘新生血管消退170只眼(95.5%)。8只眼(4.5%)发生玻璃体积血,行玻璃体切割术,术中璃体腔曲安奈德注射,补充激光治疗。结论激光光凝是治疗DR的有效方法 。

Objective To evaluate laser photocoagulation treatment of diabetic retinopathy treatment.Methods 89 cases（178 eyes）in diabetic retinopathy,laser photocoagulation through the line of treatment,regular observation of visual acuity,fundus,and fundus fluorescein angiography（3 ～4 month）,records of new blood vessels,retinal hemorrhage exudation,glass volume of blood,etc.the observation period 4 month～ 2 year.Results After the completion of laser treatment 1mo,visual acuity was improved ≥ 2 lines 69（38.7）%,no change in 63（35.3）%,decreased visual acuity ≤ 2 rows 35（26）%.Angiography showed neovascularization subsided 170（95.9%）,8（4.5%）developed vitreous hemorrhage,Across vitrectomy,intraoperative two glass body cavity triamcinolone acetonide injection,laser photocoagulation were added.Conclusion Laser photocoagulation to treat diabetic retinopathy an effective manner.