全视网膜激光光凝治疗糖尿病性视网膜病变疗效观察

Laser panretinal photocoagulation for the treatment of diabetic retinopathy

本文报告全视网膜激光光凝术治疗213只眼(138例)糖尿病性视网膜病变,随诊时间6～72(平均29.4)个月,激光治疗后70只眼(32.9％)视力提高,77只眼(36.1％)视力稳定不变,66只眼(31.0％)视力下降。结果表明激光治疗糠尿病性视网膜病变有效、全全、无明显并发症。讨论了影响激光治疗和视力预后的因素。

213 eyes (138 cases)with diabetic retinopathy (DR) were treated with laser panretinal photoeoagulation(PRP)and followed up for 3～72 months, during which time the visual acuity improved in 70 eyes (32.9％), remained unaltered in 77 eyes(36.1％), and diminished in 66 eyes (31％). The results indicated that PRP for the treatment of DR was effective and safe, with few complications. Factors affecting performance of the technique and visual prognosis were discussed.