目的:探讨视网膜局部光凝术联合药物治疗非增殖性糖尿病性视网膜病变(non-proliferative diabetic retinopathy,NPDR)的效果。方法:利用532半导体绿激光机对III期糖尿病视网膜病变(diabeticretinopathy,DR)患者进行局部光凝,应用药物控制患者血糖、血压、血脂和血流变。结果:治疗后185眼中视力提高及稳定者168眼,有效率90.8%,视力下降及出现并发症者17眼(9.2%),治疗前后有显著的临床意义。结论:局部视网膜光凝术联合药物治疗NPDR安全有效。

AIM:To investigate the result of the local retinal photocoagulation in combination with phamacological treatment for patients with non-proliferative diabetic retinopathy(NPDR). METHODS:Partial photocoagulation with 532 semiconductor green laser has been used on patients with stageⅢdiabetic retinopathy(DR),combined with the administation of drugs to control blood glucose,blood pressure,blood lipid and hemorheology. RESULTS:Among 185 treated eyes,visual acuity of 168 eyes(90.8%) was improved and stabilized after treatment, decreased visual acuity and complications happened in 17 eyes(9.2%),there was significant difference between the pre-treatment and post treatment. CONCLUSION:Local retinal photocoagulation combined with drug treatment for patients with NPDR are safe and effective.

R774.1