在手术室的外围PRP与标准诊所PRP用于PDR的初始治疗
Jack E Feist1, Sean C Drummond2, Jonathan S Fuerst3
1University of Louisville School of Medicine, Louisville, KY, USA.
Journal of vitreoretinal diseases
|August 16, 2024
概括
针对多发性糖尿病视网膜病变 (PDR) 的手术室泛视网膜光凝 (PRP) 需要的后续治疗比临床PRP少. 这两种方法都显示出类似的长期视力敏度结果.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 糖尿病视网膜病变的管理
背景情况:
- 增殖性糖尿病视网膜病变 (PDR) 是糖尿病的一种严重并发症.
- 泛视网膜光凝 (PRP) 是PDR的标准治疗方法.
- PRP (手术室与诊所) 的设置可能会影响长期结果.
研究的目的:
- 为了比较标准PRP在手术室 (OR) 和外围PRP在临床治疗先前PDR患者的长期有效性.
- 评估后续干预的需要和两种PRP方法之间的视力敏度结果.
主要方法:
- 从2017年至2022年连续案件的回顾性审查.
- 在OR和诊所接受PRP的患者之间的结局比较.
- 使用负双项回归和t测试进行统计分析,以比较后续干预和视觉敏度.
主要成果:
- 与诊所队列相比,手术室 (OR) 队列需要后续手术 (0.4比0.8) 和PRP治疗 (0.8比1.8) 的次数显著减少.
- 两组之间没有观察到长期视力敏度结果的显著差异.
- 该研究包括来自53名符合纳入标准的患者的82只眼睛.
结论:
- 在手术室进行的外围PRP导致后续干预比在诊所进行的标准PRP更少.
- 或PRP可以提供对增殖性糖尿病视网膜病变 (PDR) 的优越控制.
- 两种治疗设置之间的长期视力敏度是可比的.
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