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中心性浆液性脉络膜视网膜病变光凝治疗的波长选择

Wavelength selection in management of central serous chorioretinopathy

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【作者】 尚庆丽; 刘崇哲; 魏素琴; 史丰; 杨爱琴;

【Author】 SHANG Qingli, LIU Chongzhe, WEI Suqin, et al Departmen of Ophthalmology, Second Hospital, Hebei Medical University, Shijiazhuang 050000

【机构】 河北医科大学第二医院眼科!050000石家庄华北制药集团医院眼科; 050011; 河北医科大学第二医院眼科;

【摘要】 目的 评估不同激光波长对中心性浆液性脉络膜视网膜病变(中浆) 的治疗效应。方法根据所用不同激光波长随机将89 例中浆患者分为黄光、红光及绿光3 组。分别采用不同激光波长光凝治疗,在治疗前、后检查所有患者的视力、眼底、Amsler 表及光敏感度,并进行眼底血管荧光造影。结果 3 种激光波长的治疗结果显示:在中心视力改善和复发率方面,3 组间效应基本齐同;但黄光组病程明显缩短,绿光组光敏感度恢复程度低于黄光和红光组,红光组光凝治疗后光凝斑扩大程度明显大于黄、绿光组。结论 黄光、红光波长是治疗中浆的首选波长,但红光光凝后对脉络膜组织损害较重,所形成的光凝斑更明显。

【Abstract】 Objective To compare the effects of three kinds of laser wavelength in management of central serous chorioretinopathy (CSCR) Method 89 patients with CSCR were randomly divided into three groups according to different wavelengths used Visual acuity, fundus, fundus fluorescein angiography (FFA), light sensitivity, central visual field were performed before and after laser therapy Result Compared with red and green wavelength groups, in yellow group the visual acuity, light sensitivity were improved more significantly ( P <0 05) , and the disease course was shortened, the effects in recurrence rate were similar in the three wavelength groups Conclusion In the three kinds of waves, yellow and red have similar and positive effects in the treatment of CSCR

  • 【文献出处】 中华眼科杂志 ,CHINESE JOURNAL OF OPHTHALMOLOGY , 编辑部邮箱 ,1999年06期
  • 【分类号】R779.63
  • 【被引频次】23
  • 【下载频次】74
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