首页> 中文期刊> 《世界核心医学期刊文摘:眼科学分册》 >玻璃体内注射曲安奈德治疗渗出性老年性黄斑变性非随机前瞻性对比研究

玻璃体内注射曲安奈德治疗渗出性老年性黄斑变性非随机前瞻性对比研究

         

摘要

Purpose: To report on visual outcome of patients receiving an intravitreal inj ection of triamcinolone acetonide as treatment of progressive exudative age-rel ated macular degeneration. Methods: The prospective comparative nonrandomized clinical interventional study included 187 consecutive patients with progressive exudative age-related macular degeneration, divided into a study group of 115 patients receiving an intravitreal injection of 25 mg triamcinolone acetonide, and a control group of 72 patients without treatment. The mean follow-up was 6.0± 4.2 months. Results: Visual acuity increased significantly (P=0.03) in the study group, and decreased significantly (P=0.01) in the control group, at 1 month an d 3 months after start of the study. Between the study group and control group, the differences in change of visual acuity were significant (P=0.001). In the st udy group, the number of patients with an increase in visual acuity of 2 or more Snellen lines was significantly (P=0.001) larger than in the control group. Cor respondingly, the number of patients with a decrease of 2 or more Snellen lines was significantly (P=0.007) smaller in the study group. In all, 43 (37.4%) pati ents of the study group experienced an increase in best visual acuity by 2 or mo re Snellen lines. Conclusions: Visual acuity increased in patients with exudativ e age-related macular degeneration at 1 month and 3 months after an intravitrea l injection of 25 mg triamcinolone acetonide.

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