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慢性中央血清性胆红素变异症下微脉冲激光治疗的比较疗效:导航与非导航方法

M Karapapak¹, E Özal¹, S Ermiş¹

¹Department of Ophthalmology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, Basaksehir Olympic Boulevard Road, Basaksehir, Istanbul, Turkey.

Journal francais d'ophtalmologie

|March 14, 2025

概括

导航下值微脉冲激光器 (NSML) 和标准下值微脉冲激光器 (SML) 在慢性中央血清性胆色素变异症 (CSCR) 中同样有效. 这两种治疗都显示出良好的结果和安全性,NSML为溶解上液提供了一个有希望的选择.

科学领域:

眼科医生眼科眼科
视网膜疾病视网膜疾病
激光疗法是一种激光疗法.

背景情况:

慢性中央血清性胆色素变异症 (CSCR) 是一种由下液积累而表现的疾病.
慢性CSCR的管理通常涉及激光式干预,以准泄漏点.

研究的目的:

为了比较导航次值微脉冲激光 (NSML) 与标准次值微脉冲激光 (SML) 在治疗慢性CSCR中的疗效和安全性.
评估接受这些治疗的患者的视觉和解剖结果.

主要方法:

追溯性研究比较34名接受NSML治疗的患者和36名没有导航的SML治疗的患者.
两组都接受了577纳米黄色激光疗法,该疗法向视网膜色素上皮质泄漏,该泄漏在 fundus光素血管学 (FFA) 上被确定.
NSML使用眼睛追踪系统进行精确准,而SML使用标准激光镜头.

主要成果:

在治疗后1个月和3个月,在NSML和SML组之间没有观察到视觉或解剖结果的统计学上显著差异.
这两种治疗方式均表现出良好的结果,NSML的累计成功率为73.5%,SML的累计成功率为63.8%.
在这两组治疗中都没有报告任何不良事件.

结论:

无论是NSML还是SML都是慢性CSCR的有效和安全的治疗选择.
在3个月的随访期间,在两组中都注意到视觉和解剖结果的改善.
在慢性CSCR中,NSML提供了一种潜在的有价值的方法来管理下液.

关键词:

中央血清性胆色素变异症霍利雷丁病变 (choriorétinopathie séreuse centrale) 是一种严重的病变,主要发生在脑中.激光黄色是一种激光黄色.激光船只的航行方式微脉冲的激光在极限上纳维拉斯激光器纳维拉斯激光器在下值微脉冲激光器.黄色激光器黄色激光器

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