Liệu Pháp Laser Trong Quản Lý Bệnh Võng Mạc Đái Tháo Đường

Current Ophthalmology Reports - Tập 4 - Trang 90-96 - 2016
Sejal Shah1, Jorge Fortun2
1Manhattan Eye, Ear, and Throat Hospital, New York, USA.
2Bascom Palmer Eye Institute, Palm Beach Gardens, USA

Tóm tắt

Phù hoàng điểm do tiểu đường là nguyên nhân chính gây giảm thị lực ở những bệnh nhân mắc bệnh tiểu đường. Bài tổng quan này khám phá các phương pháp điều trị bằng laser bên cạnh giao thức quang đông laser điểm/lưới đã được thiết lập, lần đầu tiên được chứng minh trong Nghiên cứu Điều trị Sớm Bệnh Võng Mạc Đái Tháo Đường. Laser vi điểm dưới ngưỡng đã được chứng minh là liệu pháp hỗ trợ hiệu quả kết hợp với tiêm thuốc chống mạch máu trong nội nhãn ở một nhóm bệnh nhân cụ thể, đặc biệt là những người có độ dày võng mạc dưới 400 μm, mà không có nguy cơ xuất hiện điểm mù và mất thị lực có thể xảy ra với laser truyền thống. Do không có sẹo từ loại laser “vô hình” này, laser vi điểm dưới ngưỡng có thể cho phép điều trị sớm hơn trước khi xuất hiện phù hoàng điểm lâm sàng đáng kể, có khả năng ngăn ngừa mất thị lực triệu chứng và tổn thương tế bào cảm quang vĩnh viễn.

Từ khóa

#phù hoàng điểm tiểu đường #liệu pháp laser #bệnh võng mạc #điều trị vi điểm dưới ngưỡng #tiêm thuốc chống mạch máu nội nhãn.

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