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目的观察激光治疗糖尿病性黄斑水肿(DME)的临床疗效。方法回顾2013年5月-2015年3月在该院行激光治疗DME患者64例98只眼临床资料,治疗3~6个月后复查荧光素眼底造影,光相干断层扫描(OCT)。结果水肿完全消退57只眼占58.2%,水肿好转28只眼占28.6%,水肿无效9只眼占9.2%,水肿加重4只眼占4.1%。视力提高68只眼占69.4%,视力稳定25只眼占25.5%,视力下降5只眼占5.1%。黄斑水肿补充激光2只眼占2.0%。结论激光治疗DME是一种安全、有效的方法,能有效控制DME进展,有助于视力的恢复,降低DME致盲的危险性。
Objective To observe the clinical effect of laser treatment of diabetic macular edema (DME). Methods From May 2013 to March 2015, 64 patients (98 eyes) with laser DME undergoing laser treatment in our hospital were retrospectively examined for fundus fluorescein angiography and optical coherence tomography (OCT) after 3 to 6 months. Results Edema completely resolved in 57 eyes (58.2%), edema improved in 28 eyes (28.6%), edema in 9 eyes (9.2%) and edema in 4 eyes (4.1%). 68 eyes improved vision 69.4%, 25 eyesight stable 25 eyes 25%, eyesight 5 eyes 5.1%. Macular edema supplemented laser 2 eyes accounted for 2.0%. Conclusion Laser treatment of DME is a safe and effective method, which can effectively control the progression of DME, help to restore vision and reduce the risk of blindness caused by DME.