Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy
AIM: To analyze the effect of 532nm laser panretinal photocoagulation(PRP)combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy(DR), so as to provide experimental data for their clinical treatment. <p>METHODS: According to the n...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2020-08-01
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| Series: | Guoji Yanke Zazhi |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/cn_publish/2020/8/202008009.pdf |
| _version_ | 1818249319525908480 |
|---|---|
| author | Jing Liu Tian Xia Yi Guo Feng-Jiao Xiang |
| author_facet | Jing Liu Tian Xia Yi Guo Feng-Jiao Xiang |
| author_sort | Jing Liu |
| collection | DOAJ |
| description | AIM: To analyze the effect of 532nm laser panretinal photocoagulation(PRP)combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy(DR), so as to provide experimental data for their clinical treatment. <p>METHODS: According to the non-randomized clinical concurrent control study and voluntary principle, 174(239 eyes)DR patients were divided into observation group and control group. Both groups were treated with 532nm laser PRP, and the observation group was additionally treated with calcium dobesilate. BCVA(LogMAR)vision, clinical effect, fundus microcirculation, macular thickness and other clinical indexes were compared between the two groups before and after treatment(at 3mo after PRP). The incidence of complications during treatment was statistically analyzed. <p>RESULTS: After treatment, BCVA in both groups were increased, and it was higher in observation group than control group. The clinical curative effect of observation group was better than that of control group(<i>P</i><0.001). After treatment, the resistance index(RI)of central retinal artery(CRA)and osterior ciliary artery(PCA)in both groups were decreased(<i>P</i><0.05), while the peak systolic velocity(PSV)and end diastolic velocity(EDV)were increased(<i>P</i><0.05). RI in observation group was lower than that in control group, while EDV and PSV were higher than those in control group(<i>P</i><0.001). After treatment, the macular thicknesses and other clinical indexes(hemangioma, bleeding spots, gray value of visual field)in both groups were decreased(<i>P</i><0.05), and they were lower in observation group than control group(<i>P</i><0.001). There was no significant difference in the incidence rate of complications between the two groups(0.8% <i>vs </i>2.6%)(χ<sup>2</sup>=0.344, <i>P</i>=0.557). <p>CONCLUSION: Compared with 532nm PRP in treatment of DR, curative effect of 532nm PRP combined with calcium dobesilate is better. The latter can improve fundus microcirculation and macular thickness more significantly, with high safety. |
| first_indexed | 2024-12-12T15:34:36Z |
| format | Article |
| id | doaj.art-b4dc28e992b34808b55c673cab573dae |
| institution | Directory Open Access Journal |
| issn | 1672-5123 1672-5123 |
| language | English |
| last_indexed | 2024-12-12T15:34:36Z |
| publishDate | 2020-08-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-b4dc28e992b34808b55c673cab573dae2022-12-22T00:20:03ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-08-012081343134610.3980/j.issn.1672-5123.2020.8.09Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathyJing Liu0Tian Xia1Yi Guo2Feng-Jiao Xiang3Department of Ophthalmology,Wanzhou District People's Hospital, Chongqing 404000, ChinaDepartment of Ophthalmology,Wanzhou District People's Hospital, Chongqing 404000, ChinaDepartment of Ophthalmology,Wanzhou District People's Hospital, Chongqing 404000, ChinaDepartment of Ophthalmology,Wanzhou District People's Hospital, Chongqing 404000, ChinaAIM: To analyze the effect of 532nm laser panretinal photocoagulation(PRP)combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy(DR), so as to provide experimental data for their clinical treatment. <p>METHODS: According to the non-randomized clinical concurrent control study and voluntary principle, 174(239 eyes)DR patients were divided into observation group and control group. Both groups were treated with 532nm laser PRP, and the observation group was additionally treated with calcium dobesilate. BCVA(LogMAR)vision, clinical effect, fundus microcirculation, macular thickness and other clinical indexes were compared between the two groups before and after treatment(at 3mo after PRP). The incidence of complications during treatment was statistically analyzed. <p>RESULTS: After treatment, BCVA in both groups were increased, and it was higher in observation group than control group. The clinical curative effect of observation group was better than that of control group(<i>P</i><0.001). After treatment, the resistance index(RI)of central retinal artery(CRA)and osterior ciliary artery(PCA)in both groups were decreased(<i>P</i><0.05), while the peak systolic velocity(PSV)and end diastolic velocity(EDV)were increased(<i>P</i><0.05). RI in observation group was lower than that in control group, while EDV and PSV were higher than those in control group(<i>P</i><0.001). After treatment, the macular thicknesses and other clinical indexes(hemangioma, bleeding spots, gray value of visual field)in both groups were decreased(<i>P</i><0.05), and they were lower in observation group than control group(<i>P</i><0.001). There was no significant difference in the incidence rate of complications between the two groups(0.8% <i>vs </i>2.6%)(χ<sup>2</sup>=0.344, <i>P</i>=0.557). <p>CONCLUSION: Compared with 532nm PRP in treatment of DR, curative effect of 532nm PRP combined with calcium dobesilate is better. The latter can improve fundus microcirculation and macular thickness more significantly, with high safety.http://ies.ijo.cn/cn_publish/2020/8/202008009.pdf532nm laser panretinal photocoagulationcalcium dobesilatediabetic retinopathyfundus microcirculationmacular thickness |
| spellingShingle | Jing Liu Tian Xia Yi Guo Feng-Jiao Xiang Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy Guoji Yanke Zazhi 532nm laser panretinal photocoagulation calcium dobesilate diabetic retinopathy fundus microcirculation macular thickness |
| title | Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy |
| title_full | Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy |
| title_fullStr | Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy |
| title_full_unstemmed | Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy |
| title_short | Effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy |
| title_sort | effect of 532nm laser panretinal photocoagulation combined with calcium dobesilate on fundus microcirculation and macular thickness in patients with diabetic retinopathy |
| topic | 532nm laser panretinal photocoagulation calcium dobesilate diabetic retinopathy fundus microcirculation macular thickness |
| url | http://ies.ijo.cn/cn_publish/2020/8/202008009.pdf |
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