曲安奈德联合微脉冲激光治疗糖尿病性黄斑水肿

山东大学耳鼻喉眼学报

曲安奈德联合微脉冲激光治疗糖尿病性黄斑水肿

卢爱东¹，刘晓玲¹，高洁¹，陈芳²，梁仲琪¹

1. 华北煤炭医学院附属开滦医院眼科; 2. 唐山市眼科医院眼科，河北唐山 063000

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-08-16 发布日期:2008-08-16
通讯作者: 卢爱东

Triamcinolone acetonide combined with micro-pulse diode laser in treatment of diabetic macular edema

LU Ai-dong¹, LIU Xiao-ling¹, GAO Jie¹，　CHEN Fang², LIANG Zhong-qi¹

1. Department of Ophthalmology, Kailuan Hospital of North China Coal Medical College；2. Department of Ophthalmology,Tangshan Ophthalmology Hospital, Tangshan 063000, Hebei, China

Received:1900-01-01 Revised:1900-01-01 Online:2008-08-16 Published:2008-08-16
Contact: LU Ai-dong

摘要/Abstract

摘要：

目的〓〖HTK〗观察曲安奈德联合微脉冲激光治疗糖尿病性黄斑水肿的疗效和安全性。〖HTW〗方法〓〖HTK〗据眼底血管造影，对36例（40眼）糖尿病性黄斑水肿患者行黄斑区微脉冲激光治疗，玻璃体腔注射曲安奈德0.1mL(4mg)。随访3个月，观察视力、眼压、前房反应、晶状体及眼底改变，并行荧光素眼底血管造影及干涉光断层扫描仪检查。〖HTW〗结果〓〖HTK〗所有患者视力均提高，其中1例病史3年的患者从0.1提高到0.5,3例出现眼压升高,2例局部滴降眼压药,1例加用口服药后控制。1例出现假性眼内炎。黄斑水肿均减轻。〖HTW〗结论〓〖HTK〗曲安奈德联合微脉冲激光治疗糖尿病性黄斑水肿安全有效。

关键词: 糖尿病性黄斑水肿, 曲安奈德, 微脉冲, 治疗结果

Abstract:

Objective〓〖WTBZ〗To explore the therapeutic effect and security of triamcinolone acetonide combined with micro-pulse diode laser for diabetic macular edema.〖WTHZ〗Methods〓〖WTBZ〗36 patients (40 eyes) with diabetic macular edema were treated with an intra-vitreous injection of 0.1mL(4?mg) triamcinolone acetonide after fundus fluorescein angiography(FFA) by a micro-pulse diode laser. During 3 months follow-up,the visual acuity, intraocular pressure, inflammation in the anterior chamber, FFA and optical coherence tomography were determined. 〖WTHZ〗Results〓〖WTBZ〗The visions of all the patients was improved in varying degrees, and it was improved from 0.1 to 0.5 in one patient suffering from the disease for 3 years. High intraoular pressure occurred in 3 patients and was controlled by eye-drops in 2 patients and by additional oral medicine in 1. Pseudo-ophthalmia happened in 1 patient. Macular edema was relieved in all patients. 〖WTHZ〗Conclusion〓〖WTBZ〗Triamcinolone acetonide combined with micro-pulse diode laser is effective and safe for diabetic macular edema.

Key words: Triamcinolone acetonide, Micropulse diode laser,

Diabetic macular edema, Treatment outcome

中图分类号:

R774.5

卢爱东,刘晓玲,高洁,陈芳,梁仲琪 . 曲安奈德联合微脉冲激光治疗糖尿病性黄斑水肿[J]. 山东大学耳鼻喉眼学报, 2008, 22(4): 366-368 .

LU Ai-dong,LIU Xiao-ling,GAO Jie,CHEN Fang,LIANG Zhong-qi

. Triamcinolone acetonide combined with micro-pulse diode laser in treatment of diabetic macular edema[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(4): 366-368 .

参考文献

相关文章 15

[1]	朱明琼,李征,刘茹,田涛,彭婧利,吕倩怡,谭华霞. 基于OCT/OCTA的AI筛查系统在抗VEGF治疗糖尿病性黄斑水肿患者效果评价中的应用[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 68-73.
[2]	孙庆祝,沈健,陈星,吴雁冰,曾论. 代谢指标在预测糖尿病性黄斑水肿患者雷珠单抗疗效中的作用[J]. 山东大学耳鼻喉眼学报, 2026, 40(1): 74-81.
[3]	李康,李轩毅,刘稳. 慢性化脓性中耳炎合并外耳道真菌感染的诊断与治疗[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 23-30.
[4]	沈嘉琪,李潇飒,毕燕龙,张敬法. 人工智能在DME筛查、诊断和预后中的应用[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 153-159.
[5]	周静琳,李金香,曾琦. 577 nm阈值下微脉冲激光联合抗VEGF药物治疗难治性糖尿病性黄斑水肿的疗效观察[J]. 山东大学耳鼻喉眼学报, 2024, 38(2): 18-25.
[6]	唐慧新,李景景,邹红. 阈值下微脉冲激光光凝作用机制及临床应用[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 143-148.
[7]	沈勤峰,沈小燕,朱荣强,蒋斐斐,郎军添. 鼻内镜下中鼻甲功能性部分切除治疗慢性鼻窦炎76例分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 82-85.
[8]	马钊恩, 翟锦明, 廖礼兵, 杨震. 咽鼓管球囊扩张术治疗慢性分泌性中耳炎的短期疗效观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 54-56.
[9]	张杰,陈雪梅,许安廷. 超声刀扁桃体切除术与低温等离子扁桃体切除术的对比研究[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 95-100.
[10]	刘洁,施陈燕,张治军. 糠酸莫米松鼻喷剂联合玉屏风颗粒可提高儿童腺样体肥大疗效[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 73-76.
[11]	刘俊茹,高英恺,杨杨,王俊菊,刘存军. 低温等离子刀切除舌根增生性肿物40例报告[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 83-84.
[12]	靳琳,潘庆敏,胡磊. 玻璃体腔注射雷珠单抗治疗CSME及NCSME的临床观察[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 96-98.
[13]	王雅宁,耿博,李百彦,崔朝阳,王启荣. 鼻咽癌放疗后颅底骨感染坏死的治疗体会[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 42-45.
[14]	栾亚楠, 郭敬丽, 王利华. 人工眼位散开术治疗婴儿眼球震颤综合征(附6例报告)[J]. 山东大学耳鼻喉眼学报, 2015, 29(5): 69-71.
[15]	严晓腾, 冯军, 康欣乐. 曲安奈德玻璃体腔注射联合格栅样光凝治疗囊样黄斑水肿[J]. 山东大学耳鼻喉眼学报, 2015, 29(1): 60-63.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed