摘要
目的:对黄斑囊样水肿(cystoid macular edema,CME)进行光凝治疗,以保存或提高患眼视力。方法:对80例(82眼)CME患者以眼底荧光血管造影(FFA)分类,局灶性CME直接光凝相应渗漏点;弥散性CME对黄斑区行格子样光凝。结果:80例患者经过3～15个月的观察,①视力:保持原视力不变或提高1行54例(55眼),占67%;提高视力表中2行或2行以上21例(21眼),占26%;下降2行或2行以上5例(6眼),占7%。②黄斑水肿消退情况:经FFA复查证实,40例(41眼)黄斑渗漏消失,水肿消退,占50%;32例(32眼)黄斑水肿大部分消退,占39%;8例(9眼)仍有黄斑渗漏,水肿无明显消退,占11%。结论:光凝治疗是治疗CME的有效方法之一,可达到消除水肿、保存视力的目的。
Objective： To perform photocoagulation treatment on patients with cystoid macular edema （CME） in order to preserve or enhance the visual acuity of the sick eyes. Methods： 80 cases of patients （82 eyes） were classified according to the fun- dus fluorescein angiography （FFA）, focal CME was performed direct photocoagulation corresponding leakage points; diffuse CME was performed line of the lattice-like macular photocoagulation. Results： After observed for 3-15 months, the condi- tions of the 80 cases of patients were as follows, （~）vision： 54 cases （55 eyes） maintained unchanged, accounting for 67%; 21 cases （21 eyes） raised two lines or more, accounting for 26%; 5 cases （6 eyes） decreased two lines or more, accounting for 7%. （~）Condition of macular edema： confirmed by FFA, 40 cases （41 eyes） showed no macular leakage and the edema was absorption, accounting for 50%; 32 cases （32 eyes） showed the majority of macular edema absorption, accounting for 39%; 8 cases （9 eyes） showed macular leakage, and showed no significant edema absorption, accounting for 11%. Conclu- sion： Photocoagulation treatment for CME is one of the effective ways to eliminate edema and prevent vision.
出处
《中国医药导报》
CAS
2009年第30期29-30,共2页
China Medical Herald
关键词
黄斑囊样水肿
光凝
治疗
Cystoid macular edema （CME）
Photocoagulation
Treatment
