氩激光联合曲安奈德球后注射治疗黄斑水肿

Argon laser combined with retrobulbar injection of triamcinolone acetonide for macular edema

摘要:

目的:探讨曲安奈德注射液球后注射治疗黄斑水肿的疗效。方法:选择黄斑水肿病例48例48眼,其中26例为实验组,22例为对照组。两组均先氩绿激光格栅样光凝治疗黄斑水肿后,实验组随后球后注射曲安奈德注射液20mg/0.5mL,对照组不注射。结果:两组患者治疗后视力均有所提高,实验组7d内即有6例提高。1,3mo同期两组视力提高比较,有显著差异(P<0.05);黄斑中心视网膜厚度测量:两组治疗后7d;1mo经OCT测得黄斑中心厚度较治疗前均有明显变薄,治疗后1mo两组降低数值相比有显著差异(P<0.05),3moFFA检查黄斑水肿明显吸收。结论:对于黄斑水肿,氩绿激光联合球后注射曲安奈德治疗效果明显,恢复快。

Abstract:

·AIM:To investigate retrobulbar injection of triamcinolone acetonide for macular edema.·METHODS:Totally 48 eyes of 48 cases of macular edema were selected,26 cases as experimental group and 22 cases as control group.Both groups were undertook argon green laser grid pattern photocoagulation for macular edema,the experimental group followed by retrobulbar injection of triamcinolone acetonide 20mg/0.5mL,the control group were not injected.·RESULTS:Visual acuity were improved after treatment in two groups,during treatment 7 days visual acuity in the experimental group improved in 6 cases.After treatment 1 month,3 months visual acuity improved in two groups,compared the same period,which had a significant difference(P<0.05).Macular retinal thickness measurement:after treatment 7 days,1 month,central macular thickness of both groups measured by OTC were significantly thinner than before,macular edema absorption was obvious in 3 months by FFA.·CONCLUSION:For macular edema,argon green laser combined with retrobulbar injection of triamcinolone acetonide is effective with rapid recovery.·