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1、Lowvisionaidinexudativemaculardegenerationtreatedbyphotodynamictherapyandthermallaserphotocoagulation×÷ÕߣºMonteroJA,Ruiz-MorenoJM,Sanchez-deCastroMJ,FabianiC¡¾ÕªÒª¡¿Todeterminetheefficacyoflowvisionrehabilitation(LVR)inpatientswithagerelatedmaculardegeneration(AMD)treatedbyphotod
2、ynamictherapy(PDT)comparedtothosetreatedbythermallaser(TLP).METHODS:Aretrospectivestudywasperformedexaminingthefilesof42patients(42eyes)withAMDwhohadbeentreatedeitherbyTLP(Group1)andPDT(Group2).OnceAMDwasconsideredtobeinactivetheyunderwentvisualrehabilitationintheLVRUnitinordertoi
3、ncreasetheirabilityfordistantandnearvision.RESULTS:EighteeneyeshadreceivedPDTand24hadreceivedTLP.Averagecorrectedvisualacuityafterlasertherapywas0.14inGroup1,and0.16inGroup2.Nostatisticallysignificantdifferenceswerefoundbetweenbothgroupsbeforeandafterlasertherapy.Bothgroupsshowedi
4、mprovementafterLVR;however,statisticallysignificantdifferencesbetweenbothgroupswerefoundonlyfornearvision.CONCLUSION:OurfindingssuggestthateventhoughbothPDTandTLPareassociatedtoadecreasedvisualacuityaftertreatment,LVRmaybemoresuccessfulfornearvisionamongpatientstreatedbyPDT¡¾¹Ø¼ü´
5、Ê¡¿agerelatedmaculardegenerationMonteroJA,Ruiz-MorenoJM,Sanchez-deCastroMJ,FabianiC.Lowvisionaidinexudativemaculardegenerationtreatedbyphotodynamictherapyandthermallaserphotocoagulation.IntJOphthalmol(GuojiYankeZazhi),2006;6(2):298-301INTRODUCTIONAgerelatedmaculardegeneration(AMD)
6、isoneoftheleadingcausesofvisionlossindevelopedcountriesinelderlypopulation[1].Differenttherapeuticalapproacheshavebeenattempted,suchas7thermallaserphotocoagulation(TLP)[2,3],transpupillarythermotherapy[4,5],photodynamictherapy(PDT)[6],maculartranslocation[7]andantiangiogenicdrugs[
7、8].However,eventhoughthetreatmentmaybesuccessfultoclosethechoroidalneovascularization(CNV),itisnotalwaysassociatedtoanimprovementinvisualacuity(VA)becauseoftherecurrencesofCNVandthepersistenceofcentralscotoma[6,9].Lowvisionrehabilitation(LVR)hasbeendevelopedtoimprovelifequalityinp
8、atientswithVAunder20/60.LVRinclud