Less Expansion of Short-Pulse Laser Scars in Panretinal Photocoagulation for Diabetic Retinopathy.

Less Expansion of Short-Pulse Laser Scars in Panretinal Photocoagulation for Diabetic Retinopathy.
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DOI:
10.1155/2018/9371895
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发表时间:
2018
影响因子:
1.9
通讯作者:
Ogura Y
Ogura Y
中科院分区:
医学4区
文献类型:
--
作者:
Higaki M;Nozaki M;Yoshida M;Ogura Y

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利用眼底自发荧光(FAF)比较常规激光与短脉冲激光光凝瘢痕的扩张率。 回顾性病历审查。常规激光治疗6例6眼,短脉冲激光治疗8例11眼。在治疗后1、3、6和12个月,通过Optos® 200 Tx(Optos,Dunfermline,Scotland,UK)获得FAF图像。采用ImageJ软件测量20个光凝瘢痕的平均面积。根据平均面积与视盘面积的比例计算扩张率。视网膜病变和中央黄斑厚度的回归也进行了评价。 与治疗后1个月的大小相比,常规激光瘢痕的扩张率分别为1.12 ± 0.08(3个月)、1.27 ± 0.12(6个月)和1.39 ± 0.11(12个月)。短脉冲激光瘢痕的扩张率分别为1.04 ± 0.05(3 M)、1.09 ± 0.04(6 M)和1.13 ± 0.05(12 M)。短脉冲激光的扩张率明显低于常规激光(P < 0.01)。 FAF图像可用于评价光凝瘢痕大小的变化。短脉冲激光的瘢痕扩张率低于传统激光。
To compare the expansion rates of laser photocoagulation scars between the conventional laser and short-pulse laser using fundus autofluorescence (FAF). Retrospective chart review. Conventional laser was performed on 6 eyes of 6 patients, and short-pulse laser was performed on 11 eyes of 8 patients with diabetic retinopathy. FAF images were obtained by Optos® 200Tx (Optos, Dunfermline, Scotland, UK) at 1, 3, 6, and 12 months after treatment. The average area of 20 photocoagulation scars was measured by using ImageJ software. The expansion rates were calculated from the proportion of the averaged area against the optic disc area. Regression of retinopathy and central macular thickness were also evaluated. The expansion rates of the conventional laser scars compared with the size at 1 month after treatment were 1.12 ± 0.08 (3 M), 1.27 ± 0.12 (6 M), and 1.39 ± 0.11 (12 M). The expansion rates of the short-pulse laser scars were 1.04 ± 0.05 (3 M), 1.09 ± 0.04 (6 M), and 1.13 ± 0.05 (12 M). The expansion rates of the short-pulse laser were significantly lower than those of the conventional laser (p < 0.01). FAF images were useful to evaluate the changes in the photocoagulation scar sizes. The scars with the short-pulse laser showed lower expansion rates than those of the conventional laser.
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