单侧眼视网膜静脉阻塞行对侧眼眼底检查的作用

Effect of contralateral fundus fluorescein angiography in unilateral retinal vein occlusion

目的:探讨眼底荧光血管造影检查对于罹患单侧眼视网膜静脉阻塞患者对侧眼眼底改变的评估价值。方法:选取医院接收的60例单侧眼视网膜静脉阻塞者,进行双眼眼底检查,观察对侧眼异常改变情况。60例患者中,35例患者采取视网膜激光光凝术治疗,25例患者采取口服复方血栓通胶囊,并分别于3个月后复诊。结果:共收集60例单侧视网膜静脉阻塞者,其中52例健/对侧发现病理性改变,占86.67%;治疗3个月后,采用视网膜激光光凝治疗的35例患者,临床总有效率为94.29%,而采取药物治疗的25例患者,临床总有效率为72.00%,两组差异具有统计学意义(P<0.05)。结论:单侧视网膜静脉阻塞患者多数对侧眼存在不同程度的病变,单侧视网膜静脉阻塞采取视网膜激光光凝治疗的疗效明显,具有临床推广价值。

Objective:To evaluate the value of fundus fluorescein angiography(FFA) in unilateral retinal vein occlusion. Methods: 60 unilateral retinal vein occlusion patients were selected to observe the abnormal changes during the fundus examination. 35 cases were treated with retinal photocoagulation;25 cases orally took the compound Xueshuantong capsule. Patients were checked after 3 m. Results: Among 60 unilateral retinal vein occlusion cases, 52 cases(86.67%) had the pathological changes in the healthy or contralateral sides;after 3 m, 35 cases were treated with retinal photocoagulation, which its total effective rate was 94.29%. 25 cases were treated with drugs, which its total effective rate was 72.00%(P<0.05). Conclusion: Most of the unilateral retinal vein occlusion patients have the varied degrees of lesions in the contralateral eye. The retinal photocoagulation has an obvious treatment effect in unilateral retinal vein occlusion. It is worthy of clinical promotion.