文档介绍:糖尿病性黄斑水肿的治疗进展
【摘要】很多眼科疾病均可导致黄斑水肿。糖尿病性视网膜病变(diabetic retinopathy,DR)发展到一定阶段,在各种危险因素的综合作用下也会出现黄斑水肿。其治疗方法主要有激光光凝、手术及药物治疗。本文就以上3种治疗方法的研究现状及未来的发展趋势作一综述。
【关键词】糖尿病;黄斑水肿;激光光凝;玻璃体切割术;抗血管内皮生长因子药物;抗炎治疗
Progress of treatment diabetic macular edema
Xiang Hong,Chen Juan,Lv Hongbin Department of Ophthalmology,the Subsidiary Hospital of Luzhou Medical College
【Abstract】Diabetic retinopathy is one of the severe plications in diabetic patients, and diabetic macular edema is the important reason to decreased vision for the patients with diabetic retinopathy. In addition to effective control of blood sugar blood fat, blood pressure and keep the good health of the body, the main treatment method include laser photocoagulation, surgery and medication. The present paper reviews the above three kinds of treatment methods of research status and future development trends.
【Keywords】diabetes mellitus; diabetic retinopathy; diabetic macular edema; laser photocoagulation; vitrectomy; anti-vascular endothelia
l growth factor drug; anti-inflammatory therapy
【中图分类号】【文献标识码】A【文章编号】1672-3783(2014)01-0355-010 引言
糖尿病视网膜病变(diabetic retinopathy,DR)是糖尿病(diabetes mellitus,DM)患者最常见和严重的微血管并发症之一,而黄斑水肿(diabetic macular edema,DME)会引起严重的视力损害。由于血-视网膜屏障的损害,毛细血管内皮破坏,血管通透性增加,渗漏的液体进入都周边视网膜形成局限性或弥漫性的黄斑水肿。激光光凝是黄斑水肿(diabetic macular edema,DME)传统的治疗方法。近年来玻璃体切割术及药物治疗的应用逐渐推广,本文就以上治疗方法的研究现状及未来发展趋势作一综述。
1 激光