577nm微脉冲激光的治疗糖尿病重度黄斑水肿的临床疗效观察

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1、重庆医科大学硕士研究生学位论文0．142士0．021，两组组间及组内相比差异无显著性的意义(P>O．05)。3．眼底改变：光凝治疗术后1月时，两组患者中黄斑硬性渗出较前吸收减少，但部份患者黄斑区出现少许浅黄色斑，在随访至3月时，硬性渗出明显减少，黄斑水肿减轻，经典格珊样光凝组中少部份患者黄斑区视网膜出现色素沉着加重，但未见到明显的激光瘢痕，微脉冲光凝组，患者黄斑区未见到明显激光瘢痕，色素沉着较光凝术后1月检查时减轻结论：微脉冲阈下激光与经典格栅样连续波激光对糖尿病重度黄斑水肿都能进行有效的治疗，治疗后都能稳定患者视力，减轻黄斑水肿，但微脉冲激光治疗副作用更小，治疗更具有优越性。关键

2、词：糖尿病性黄斑水肿；激光；微脉冲激光重庆医科大学硕士研究生学位论文CLINICALEFFICACYOBSERllC姐IONOF577NMMICROPULSELASERINTHEDIABETESSEVEREⅣIACULAREDEM【AABSTRACTObjective：Toexploretheclinicaleffectivenessof577nmmicropulselaserondiabeticseveremacularedema．Methods：Sixty-twoeyesof44diabeticpatientswithclinicallydiagnoseddiabetessev

3、eremacularedema(2002Sydneyinternationalophthalmologymeetingsuggestinstallmentstandard)wererandomlydividedintoAmicropulselasersubthresholdphotocoagulationgroup(22casesof32eyes)andAclassical酊dlaserphotocoagulationgroup(22casesof30eyes)betweenNovember201toAugust2012．Follow-upof3months，eyegroundev

4、aluationincludedbestcorrectedvisualacuity(BCVA)，slitlampmicroscopefundusexamination，opticalcoherencetomography(OCT)scanneratpre—treatmentandvarioustimesaftertreatment(1st,and3rd,months)，andallpatientsalsounderwentfundusfluoresceinangiography(FFA)atpre—treatmentandthe3rdmonthsaftertreatment．Cha

5、ngesphotocoagulationofpatientsbeforeandafterBCVAandcentralmacularthickness(CMT)intothestatisticalanalysis．Results：1．Changesinmacularthinkness：Micropulselaser4重庆医科大学硕士研究生学位论文subthresholdphotocoagulationgroupwere484．90士15．109matphotocoagulationbefore，449．40士11．819rnat1吼months，445．40士10．419rnat3m

6、months．classicalgridlaserphotocoagulationgroup，were487．2士16．459inatLaserphotocoagulationbefore，459。30士15．969mat1mmonths，449．20土11．479mat3mmonths．Therewasnosignificantdifferencecomparedtwogroups(p>O．05)．Independentcomparisoninthegroupbeforeandafterthetreatment，micropulsephotocoagulationtreatmen

7、tgroupafter3mmonthshassignificantdifferencecomparedwithbeforetreatment(p=0．04)．2．Visionchanges：Micropulselasersubthresholdphotocoagulafiongroup，0．139士0．020atphotocoagulationbefore，0．141士0．020at1一months，O．144士0．019at3一months，classicalgri