Journal of Southern Medical University ›› 2004, Vol. 24 ›› Issue (11): 1313-1315.

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Effect of argon laser photocoagulation on diabetic retinopathy

WEI Zhan-yun1, HU Shi-xing2, TANG Na1, WU Jing1, WANG Jie3   

  1. 1. 南方医科大学南方医院眼科, 广东, 广州, 510515;
    2. 中山大学中山眼科中心, 广东, 广州, 510060;
    3. 解放军159医院, 河南, 驻马店, 46300
  • Online:2004-11-20 Published:2004-11-20

Abstract: Objective To observe the clinical effect of argon laser photocoagulation on diabetic retinopathy (DR) in different stages.Methods A total of 263 eyes in 170 patients with DR in different stages were photocoagulated using argon laser machine 2000. Thirty eyes in non-proliferative stage received focal photocoagulation, 156 pre-proliferative eyes received subtotal panretina photocoagulation, and 77 proliferative eyes were treated with panretinal photocoagulation. Additional focal or grid treatment was given for the eyes with localized or difused macular edema. The visual acuity, eye fundus examination and retinal fluorescein angiography were carried out 3 months after the treatment and the results compared with the preoperative findings.Results Improvement of visual acuity by at least one row on the visual chart was achieved in 92 eyes (35%), 144 eyes (55%) exhibited no changes, and 27 eyes (10%) deteriorated. Microaneurysm, retinal edema, exudates and fluorescence leakage were reduced in 89% of the eyes, with the rest eyes requiring additional treatment in the non-proliferative and pre-proliferative stages. For the retina in proliferative stage, neovascularization on the disc resolved completely in 67% eyes, whereas partially in 33% eyes which needed additional photocoagulation. The eyes with partial and complete resolvtion of macular edema accounted for 91% of the total eyes. Postoperative pre-retinal hemorrhage and vitreous hemorrhage occurred at the rates of 8% and 1%, respectively.Conclusion Argon laser therapy is effective for the eyes with DR in different stages, but produces better efficacy in non- and pre-proliferative stages than in proliferative stage. Follow-up and additional photocoagulation are necessary for the eyes in proliferative stage to ensure better outcome.

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