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白内障摘除联合人工晶体植入术后糖尿病视网膜病变的激光治疗

  

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-02-25

Cataract Extraction Combined with Intraocular Lens Implantation after Laser Treatment of Diabetic Retinopathy

  • Received:1900-01-01 Revised:1900-01-01 Online:2012-02-25

摘要: 目的:探讨白内障摘除联合人工晶体植入术后糖尿病(DM)视网膜病变的激光治疗效果。方法:白内障摘除联合人工晶状体置入术后120例DM网膜病变患者(180眼)均采用经眼底荧光血管造影(FFA)确定为增殖前期DM视网膜病变(PPDR)40眼、增殖期DM视网膜病变(PDR)140眼,采用全视网膜光凝治疗,随访6~24个月。结果:患者视力、视网膜病变改善的有效率为73.9%、76.1%。3个月后复查视力、眼底、FFA及彩色眼底像,新生血管大部分萎缩,视网膜水肿消退,无灌注区残留补充激光光凝。无黄斑水肿组治疗后的视力显著优于有黄斑水肿组,P<0.05。结论:白内障摘除联合人工晶状体置入,及时合理的激光治疗是确保DR患者视力稳定,降低致盲率的关键。

Abstract: Objective:To study the excise cataract joint iol implantation of diabetic retinopathy after laser treatment effect.Methods:The hospital in June 2007 to December 2010 were removing cataracts joint artificial lens after placement 120 cases diabetes retinal lesions patients(180 eyes) as the research object,this group of patients all adopt the fundus fluorescence angiography a) determined for the proliferation of the diabetic retinopathy(PPDR) 40 eye,the proliferation of diabetic retinopathy(PDR) 140 eyes,adopt the whole retinal photocoagulation treatment,follow-up(6~24 months.Results:This group of patients vision,improve the effectiveness of retinopathy was 73.9%,76.1%.Three months after the sight,eye,and color fundus FFA like,new blood vessels most atrophy,retinal edema is gone,no perfusion area remain added laser photocoagulation.Without macular edema after treatment group was superior to the vision has macular edema group,P< 0.05.Conclusion:Cataract intraocular lens implantation was put into joint,timely reasonable laser therapy is to ensure that patients with stable DR vision,reduce the rate of blind key.