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修改的YAG激光治疗视网膜动脉闭塞

Da-Guang Bi^1,2, Bo-Wen Ma², Wei-Lin Wang²

¹Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, No. 251 Fukang Road, Xiqing District, 300384, Tianjin, China.

Lasers in medical science

|October 6, 2025

概括

修改过光 Nd:YAG 激光栓塞 (MTYE) 有效地治疗视网膜动脉阻塞 (RAO) 带有可见栓塞. 这种改进的方法显著提高视力敏度,并实现高反射率,最小的不良影响.

科学领域:

眼科医生眼科眼科
血管医学血管医学
激光手术激光手术是一种激光手术.

背景情况:

视网膜动脉封闭 (RAO) 是一种需要有效治疗的危急病.
透光Nd:YAG激光栓塞 (TYE) 是一种成熟的治疗方法,但仍在寻求改进.
基金中的可见标志在RAO管理中构成一个特殊的挑战.

研究的目的:

改进和重新评估修改过光 Nd:YAG 激光栓塞 (MTYE) 的疗效和安全性.
评估MTYE在治疗具有可见底部栓塞的非动脉炎RAO中的有效性.
在MTYE治疗后评估视觉敏度和视网膜动脉反.

主要方法:

十七名患有非动脉炎RAO和可见栓塞的患者,对常规治疗没有反应,接受了MTYE.
光底血管图 (FFA) 用于在治疗前和治疗后评估视网膜动脉流量.
在MTYE之前和之后测量了最佳校正视敏度 (BCVA).

主要成果:

观察到BCVA (logMAR) 的统计学显著改善,从1.23 ± 0.75变为0.74 ± 0.7 (p < 0.001).
在接受治疗的患者中,15只眼睛 (88%) 实现了成功的再输液.
两个病例经历过渡性玻璃体出血,用药物在一个月内消失;没有其他严重的不良事件.

结论:

修改过光 Nd:YAG 激光栓塞 (MTYE) 是 RAO 的安全有效的治疗选择.
MTYE在改善视觉结果和在精选的RAO患者中实现再注射方面表现出显著的有效性.
MTYE程序为RAO提供了一个有前途的治疗方法,具有可见的 fundus emboli.

关键词:

有效性和安全性和安全性.经过修改的透光nd:yag激光栓塞 (MTYE)视网膜动脉堵塞视网膜动脉堵塞

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