糖尿病视网膜病变激光光凝术后睫状体脱离的UBM观察

发布时间：2018-06-27 09:28

本文选题：糖尿病性视网膜病变 + 视网膜激光光凝　；参考：《中国医科大学》2010年硕士论文

【摘要】： 目的观察不同激光能量治疗糖尿病视网膜病变患者术后睫状体脱离的发生率,探讨不同激光能量与睫状体脱离的相关性。方法将49例85眼经检眼镜检查和FFA检查确诊为增殖前期、增殖期糖尿病视网膜病变患者,随机分成A、B两组。A组42眼,行全视网膜光凝术,激光点数：250-350点,光斑直径250-300um,标准Ⅲ级光斑；B组共43眼,行全视网膜光凝术,激光参数：激光点数400-550点,光斑直径250-300um,标准Ⅲ级光斑。所有患眼分4次光凝,首次光凝下方1/4象限视网膜,光凝术后第2天行UBM检查,观察和分析光凝术后睫状体的改变。对检查结果进行x2检验,分析两组之间视网膜光凝术后睫状体脱离的发生率是否有显著性差异。结果 85眼光凝术后第2日眼前节未见明显的炎症反应。视网膜光凝术后第2日A组42眼中有14眼出现睫状体脱离,占33.33%。B组43眼中有24眼出现睫状体脱离,占55.81%。38只眼中36只眼为全周睫状体脱离,2只眼为部分象限脱离。B组光凝术后睫状体脱离的病例数明显高于A组,统计学分析有显著性差异(p0.05)。结论视网膜光凝术后睫状体脱离是较为常见的眼部并发症。睫状体脱离与激光能量呈正相关,随着激光能量的增加,睫状体脱离的发生率亦增加。
[Abstract]:objective
Objective To observe the incidence of postoperative ciliary detachment in patients with diabetic retinopathy treated by different laser energy, and to explore the correlation between different laser energy and ciliary body detachment.
Method
49 cases of 85 eyes were examined by ophthalmoscope and FFA examination. The patients with proliferative diabetic retinopathy were randomly divided into A, B two, group.A, 42 eyes, all retinal photocoagulation, laser points: 250-350 points, 250-300um diameter 250-300um, standard III level spot, 43 eyes in group B, retinal photocoagulation, laser parameters 400, 400 laser points. -550 point, spot diameter 250-300um, standard grade III spot. All eyes were divided into 4 times of photocoagulation, first photocoagulation under 1/4 quadrant retina, second days after photocoagulation, UBM examination was performed to observe and analyze the changes of ciliary body after photocoagulation. The results of the examination were examined by x2 test, and the incidence of ciliary body detachment after optic retinal photocoagulation between the two groups was analyzed. There is a difference in sex.
Result
No obvious inflammatory reaction was found at the second day after 85 eye coagulation. 14 eyes in group A 42 eyes appeared ciliary body detachment on second days after retinal photocoagulation, accounting for 24 eyes in 43 eyes of group 33.33%.B, and 36 eyes in 55.81%.38 eyes were full of ciliary body detachment, 2 eyes were separated from group.B after photocoagulation and ciliary body detachment after photocoagulation. The number of cases was significantly higher than that of group A, and statistical analysis showed significant difference (P0.05).
conclusion
Ciliary body detachment after retinal photocoagulation is a common ocular complication. Ciliary body detachment is positively correlated with laser energy. With the increase of laser energy, the incidence of ciliary body detachment is also increased.
【学位授予单位】：中国医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R587.1;R774.1

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