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目的探讨糖尿病视网膜病变(DR)光凝术并发症的发生机制及处理方法。方法对96例181眼DR患者行视网膜光凝术,对其发生的并发症及时处理,并随访观察3个月。结果 96例患者均有不同程度的疼痛。光凝术中2例(2眼)视网膜出血,1例患者晕厥。光凝术后4眼发生渗出性视网膜脱离,1眼角膜上皮剥脱,1眼角膜炎,3眼结膜炎,3眼出现黄斑水肿,7眼原有黄斑水肿加重。对轻度并发症未进行特殊处理,对较重并发症及时处理未出现不良后果。结论视网膜光凝术在治疗的同时也有其破坏性,光凝前充分做好准备工作,选择合适的激光参数可以减少并发症的发生。
Objective To investigate the pathogenesis and treatment of complications of diabetic retinopathy (DR). Methods Ninety-six eyes of 181 DR patients underwent retinal photocoagulation. The complications were treated in time and were followed up for 3 months. Results 96 patients had different degrees of pain. Photocoagulation in 2 cases (2 eyes) retinal hemorrhage, 1 patient syncope. There were exudative retinal detachment in 4 eyes after photocoagulation, corneal epithelial exfoliation in 1 eye, keratitis in 1 eye, conjunctivitis in 3 eyes, macular edema in 3 eyes and exacerbation of original macular edema in 7 eyes. No special treatment of mild complications, timely treatment of severe complications without adverse consequences. Conclusion Retinal photocoagulation also has its own devastating effect in the treatment. It is fully prepared before photocoagulation. Choosing the appropriate laser parameters can reduce the incidence of complications.