You Position: Home > Paper

Transpupillary thermotherapy in the management of exudative age-related macular degeneration

( views:268, downloads:44 )
Author:
No author available
Journal Title:
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
Issue:
3
DOI:
10.3760/j.issn:1005-1015.2002.03.004
Key Word:
黄斑变性/治疗;高温,诱发

Abstract: 目的评价经瞳孔温热疗法(transpupillary thermotherapy,TTT)治疗渗出型老年性黄斑变性(age-related macular degeneration,AMD)的临床疗效.方法回顾分析62例确诊为AMD的患者的62只患眼TTT治疗的临床资料.62例AMD患眼中,行荧光素眼底血管造影(fundus fluorescein angiography,FFA)检查者58例,吲哚青绿血管造影(indocyanine green angiography,ICGA)检查者42例,光相干断层成像术(optic coherence tomography,OCT)检查者56例.激光治疗机波长为810 nm,光斑0.5~3.0 mm,能量60~400 mW,照射时间60 s.62例患者治疗后随访观察1~10个月,平均随访观察时间4.8个月,分析末次随访视力与治疗前视力以及OCT复查资料.结果视力不变者43例,占69.4%;进步者1 5例,占24.2%;下降者4例,占6.5%.51例OCT复查者中,黄斑水肿不变者29例,占56.96%;好转者18例,占38.3%;恶化者4例,占7.8%.视力改善与OCT黄斑水肿的形态改善相一致者38只眼,占OCT检查者的74.5%;视力改善滞后于黄斑水肿形态改善者13只眼,占25.5%.再次行TTT治疗者18只眼,占接受TTT治疗者的29.0%.治疗随访期间无明显治疗副作用.结论TTT治疗能使大部分渗出性AMD患眼视力稳定或提高,使用安全,但激光治疗参数尚需进一步探索.

WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn