摘要
目的评价增生性糖尿病性视网膜病变广泛视网膜光凝术（panretinal photo coagulation）后FFA在随访中应用的意义。方法对28例（49眼）增生性糖尿病性视网膜病变进行广泛视网膜光凝治疗，光凝后2个月拍摄9张550非立体彩色眼底照片，然后行FFA检查，由两位眼底病专业医师分析二者对视网膜毛细血管无灌注区、视网膜视盘新生血管的发现情况。结果49眼中根据眼底彩色照相判定存在视网膜及（或）视盘新生血管者9眼；根据FFA判定存在视网膜及（或）视盘新生血管12者眼，无新生血管但存在毛细血管无灌注区者4眼。根据FFA结果进行补充视网膜光凝治疗16眼。结论增生性糖尿病性视网膜病变广泛视网膜光凝治疗后随访可采用眼底彩色照相为主、FFA辅助的方法，FFA能早期、全面、准确地发现视网膜毛细血管无灌注区和视网膜及（或）视盘新生血管，指导补充光凝治疗。
Objective To evaluate the application of fundus fluorescein angiography （FFA） in the follow-up of diabetic retinopathy patients after panretinal photocoagulation （PRP）. Methods Forty-nine eyes of 28 patients with proliferative diabetic retinopathy were treated with PRP and subsequently followed up for 6 months. Two months after PRP, each eye was taken 9 pieces of fundus photography and then was examined with FFA. Two senior doctors analyzed the image data to find capillary nonperfusion and retinal neovascularization. Results According to retinal fundus photography, 9 eyes were found having neovascularization. While according to FFA, retinal or optic disc neovascularization exsited in 12 eyes, and 4 eyes had no neovascularization but had capillary non-perfusion area. Totally 16 eyes were treated with additional retinal photocoagulation again according to results of FFA. Conclusion The follow-up of patients with proliferative diabetic retinopathy after PRP can be based on fundus photography and should be supplemented by FFA. FFA can early, comprehensively and accurately discover retinal capillary non- perfusion and retinal neovascularization, which contribute to photocoagulation therapy.
出处
《中华眼外伤职业眼病杂志》
2015年第4期295-297,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
