首页|玻璃体切割联合超全视网膜光凝治疗合并房角新生血管的糖尿病性视网膜病变的疗效观察

玻璃体切割联合超全视网膜光凝治疗合并房角新生血管的糖尿病性视网膜病变的疗效观察

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目的:观察玻璃体切割手术联合超全视网膜光凝治疗合并前房角新生血管的糖尿病视网膜病变长期疗效。方法:回顾性分析2010年1月至2012年12月于我院接受玻璃体切割手术治疗的糖尿病视网膜病变患者166例189眼的临床资料,患眼均为糖尿病视网膜病变5期,须行玻璃体切割手术治疗,术前行前房角镜检查发现存在前房角新生血管,患眼均行标准三切口经睫状体平坦部玻璃体切割视网膜激光光凝治疗,以前房角象限数计,观察治疗后最佳矫正logMAR视力,房角新生血管情况,眼压,眼底视网膜的情况,随访时间3、6、12个月。结果:所有患者术后视网膜平伏,未出现玻璃体再出血及视网膜再脱离者。术后3个月所有患眼前房角新生血管均有不同程度的消退,至随访结束时,173眼前房角新生血管完全消退,占91.5%,12眼前房角新生血管减少,占6.3%,4眼前房角出现新生血管的不变或增多,占2.1%,手术前后相比有统计学意义。术后患眼最佳矫正视力提高,手术前后相比较有统计学意义。术后眼压升高的患眼均有不同程度的下降,术前眼压与术后各阶段眼压比较,有统计学意义P<0.01。结论:玻璃体切割手术治疗糖尿病视网膜病变前房角新生血管疗效确切,避免患眼进展为新生血管性青光眼,具有较好的远期效果。
Therapeutic effect of vitrectomy combined with extra panrentinal photocoagulation in angle neovascularization of diabetic retinopathy
Objective:To observe the long-term results of vitrectomy combined with extra panrentinal photocoagulation in angle neovascularization of diabetic retinopathy. Methods:To analyze retrospectively the clinical data of patients with diabetic retinopathy 5 stage with angle neovascularization 189 eyes (166 patients) during the year of 2010 to 2012, who were treated by pars plana vitrectomy and retinal coagulation. To observe the logMAR vision, the intraocular pressure, retinal fundus and variation of angle neovascularization. Fol ow-up duration varied 3,6,12months. Results:The angle neovascularization were decreased in al the 189 eyes within 3 months after the surgery. At the end of fol ow-up duration, angle neovascularization were regression completely in 173 eyes (91.5%), decreased in 12 eyes (6.3%), unchanged or increased in 4 eyes (2.1%), There were statistical significances between the data of before and after the surgery. Conclusion:There were certain therapeutic effects of vitrectomy for angle neovascularization in diabetic retinopathy. It could avoid eyes to develop as a consequence of neovascular glaucoma with good long-term result.

Diabetic retinopathyVitrectomyAngle neovascularization

窦禹、万超、才娜、陈蕾

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中国医科大学附属第一医院眼科 110000

糖尿病视网膜病变 玻璃体切割 前房角新生血管

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(11)
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