眼底激光联合玻璃体腔注药治疗合并黄斑水肿的糖尿病性视网膜病变的临床观察

目的:探讨全视网膜光凝术联合玻璃体腔注药术治疗合并黄斑水肿的糖尿病性视网膜病变的效果。方法:应用532半导体绿激光治疗机对视网膜病变达Ⅲ期以上同时合并黄斑水肿的糖尿病性视网膜病变患者,行全视网膜光凝术,术后1wk行曲安奈德玻璃体腔注射。结果:治疗后241眼中视力提高及无下降者218眼,有效率占90.5%,视力下降及玻璃体出血23眼,占9.5%,治疗前后有非常显著的临床意义。结论:全视网膜光凝术联合玻璃体腔注药术治疗合并黄斑水肿的糖尿病性视网膜病变安全有效。

Clinical observation of treating diabetic retinopathy with macular edema by fundus laser combined with intravitreous injection

·AIM:To discuss the effect of laser photocoagulation combined with intravitreous injection in the treatment of diabetic retinopathy(DR)with macular edema(ME).·METHODS:Patients who suffered DR(over Ⅲ)with ME received laser photocoagulation treatment in the whole retina with 532 wave length semiconductor laser instrument.Patients received intravitreous injection of triamcinolone acetonide in a week after operation.·RESULTS:After treatment,the eyesight of 218 eyes was improved or non-decreased in total 241 eyes,accounting for 90.5%.The amount of eyes whose eyesight was decreased was 23,accounting for 9.5%.Clinical effect was significant.·CONCLUSION:Laser photocoagulation combined with intravitreous injection is safe and effective in the treatment of DR with ME.·