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目的:探讨后筋膜下注射曲安奈德联合激光光凝治疗糖尿病性黄斑水肿的疗效。方法:糖尿病性黄斑水肿患者58例(97眼)给予后筋膜下注射曲安奈德联合激光光凝治疗,比较治疗前、后视力、眼压、黄斑水肿消退情况及不良反应。结果:治疗后视力、眼压较治疗前增高(P<0.05);黄斑水肿完全消退14眼(14.32%),部分消退70眼(72.16%),无改变13眼(13.40%);未出现眼内炎、白内障加重及水肿复发病例,72眼(74.23%)出现不同程度的高眼压,均经治疗后控制。结论:后筋膜下注射曲安奈德联合激光光凝治疗糖尿病性黄斑水肿安全、有效。
Objective: To investigate the effect of subretinal triamcinolone acetonide injection combined with laser photocoagulation in the treatment of diabetic macular edema. Methods: Fifty-eight patients (97 eyes) with diabetic macular edema were treated with subfascial injection of triamcinolone acetonide combined with laser photocoagulation. Visual acuity, intraocular pressure, macular edema, and adverse reactions were compared before and after treatment. Results: After treatment, the visual acuity and intraocular pressure were significantly higher than those before treatment (P <0.05); macular edema disappeared completely in 14 eyes (14.32%), partially subsided in 70 eyes (72.16%), no changes in 13 eyes (13.40% Endophthalmitis, cataract and edema recurrence cases, 72 eyes (74.23%) showed varying degrees of intraocular hypertension, are controlled after treatment. Conclusions: Subfascial injection of triamcinolone acetonide combined with laser photocoagulation for the treatment of diabetic macular edema is safe and effective.