曲安奈德球后注射联合黄斑格栅样光凝治疗黄斑水肿

摘要

AIM: To investigate the clinical efficacy and safety of intravitreal injection of triamcinolone combined macular grid photocoagulation treatment for macular edema. METHODS: Totally 150 cases (150 eyes) with macular edema in our hospital from July 2009 to November 2013 were selected, which were randomly divided into study group (75 cases, 75 eyes) and control group (75 cases, 75 eyes) . The cases in control group were treated with macular grid photocoagulation treatment, those in the study group used triamcinolone acetonide combined macular grid photocoagulation treatment. Best corrected visual acuity ( BCVA ) , parallel optical coherence tomography ( OCT) and fundus fluorescein angiography (FFA) were detected before treatment, after treatment 7d, 1, 3, and 9mo. RESULTS:After the treatment, patients' vision were significantly improved in two groups (P0. 05). Fovea macular neurosensory retinal thickness in the study group was significantly lower than that in control group (P0.05),研究组黄斑中心凹视网膜神经上皮层厚度显著低于对照组(P<0.05)；研究组出现7例眼压轻度增高,经降眼压治疗后均恢复正常。　　结论：曲安奈德玻璃体腔注射联合黄斑格栅样光凝治疗黄斑水肿的临床疗效确切,可以有效提高患者视力,降低黄斑水肿症状,安全可靠,适于临床推广与应用。