论文部分内容阅读
目的比较激光与药物治疗中心性浆液性脉络膜视网膜病变的疗效。方法分析2004年10月~2006年1月经眼底荧光血管造影检查确诊的中心性浆液性脉络膜视网膜病变63例63眼,根据渗漏点位置分组进行激光与药物治疗,并进行疗效观察。结果激光治疗组39眼,平均(23±12)d视力恢复正常,无一例复发,1个月后治愈率94.61%。药物治疗组24眼除4眼复发外,平均(127±38)d视力恢复正常。有6例因病程较长或复发导致不同程度的视网膜色素上皮(RPE)色素脱失、萎缩或带状萎缩改变,1个月后治愈率47.50%,复发率16.67%。两组相比,差异具有统计学意义(P<0.01)。结论激光治疗旁中心渗漏点应作为“中浆”的首选治疗。
Objective To compare the efficacy of laser and drug in the treatment of central serous chorioretinopathy. Methods 63 cases (63 eyes) of 63 cases of central serous chorioretinopathy diagnosed by fundus fluorescein angiography were analyzed from October 2004 to January 2006. Laser and drug treatment were performed according to the location of the leakage point and the curative effect was observed. Results In the 39 eyes of the laser treatment group, the mean visual acuity (23 ± 12) d returned to normal without any recurrence. The cure rate after 1 month was 94.61%. In 24 eyes of drug treatment group, except for 4 eyes, the average (127 ± 38) days visual acuity returned to normal. There were 6 cases of retinal pigment epithelium (RPE) depigmentation, atrophy or atrophic change due to longer course or recurrence. The cure rate was 47.50% and the recurrence rate was 16.67% after 1 month. The difference between the two groups was statistically significant (P <0.01). Conclusion The laser treatment of paracentesis should be used as the “center of the pulp,” the preferred treatment.