發(fā)布時間：2018-08-08 19:43

【摘要】：目的:觀察玻璃體內(nèi)注射康柏西普對糖尿病視網(wǎng)膜病變黃斑水腫的治療效果。方法:經(jīng)光相干斷層掃描(OCT)檢查證實的糖尿病視網(wǎng)膜病變所致的囊樣黃斑水腫患者30例30眼,玻璃體內(nèi)注射康柏西普0.05ml,術(shù)后1天觀察視力,術(shù)后1周,3周,4周時,觀察視力和OCT檢查黃斑厚度改變。結(jié)果:治療后1周,3周,4周時黃斑區(qū)視網(wǎng)膜厚度與治療前相比,差異具有統(tǒng)計學(xué)意義,P0.001,術(shù)后1天,1周,3周,4周時視力較術(shù)前平均提升2行,術(shù)后4周部分患者出現(xiàn)輕度的囊樣水腫。結(jié)論:玻璃體內(nèi)注射康柏西普可有效治療糖尿病視網(wǎng)膜病變所致的黃斑水腫,起效時間短,療效確切,但應(yīng)連續(xù)注射,連續(xù)注射的時間間隔不應(yīng)超過4周。
[Abstract]:Objective: to observe the therapeutic effect of intravitreous injection of Compactopril on diabetic retinopathy macular edema. Methods: 30 eyes of 30 patients with cystic macular edema caused by diabetic retinopathy confirmed by optical coherence tomography (OCT) were injected intravitreous with Compacipe 0.05ml. the visual acuity was observed one day after operation, and the visual acuity was observed at 3 weeks and 4 weeks after operation. Visual acuity and macular thickness were observed by OCT. Results: there was a significant difference in macular retinal thickness between before and after treatment (P 0.001). The visual acuity of macular area increased by 2 rows at 1 week and 3 weeks and 4 weeks after treatment. Mild cystic edema was found in some patients 4 weeks after operation. Conclusion: intravitreous injection of Compactopril is effective in the treatment of macular edema caused by diabetic retinopathy. It is effective and effective, but it should be continuously injected and the interval of continuous injection should not be more than 4 weeks.
【作者單位】： 新疆維吾爾自治區(qū)人民醫(yī)院眼科;
【分類號】：R587.2;R774.5
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本文編號：2172857