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METHOD OF TREATING MACULAR EDEMA WITH A LASER AT WAVE LENGTH 532 nm

机译:用激光在波长532 nm处治疗黄斑水肿的方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to ophthalmology. There are localized edema and its height with the help of optical coherent tomography and when obtaining an edema height value not exceeding 500 mcm according to optical coherence tomography. Edema zones are treated with a laser at wave length 532 nm. Laser power is selected in the area of the neuroepithelium edema, which is as far as possible from the foveolar avascular zone in the area of the vascular arcade. Laser coagulator Quantel Medical Supra with wave length 532 nm is used for application of laser applicators. Laser applicators are applied in micro-pulse mode with parameters: spot diameter of 100 mcm, porosity of 5 %, exposure of 0.1 s to weak reaction of retina in the form of easy whitening in laser application point. Then power is reduced to disappearance of retinal coagulation reaction. Further, the obtained power is used in laser treatment in a subthreshold microimpulsive mode of operation. At the first stage, the neuroepithelial edema zones are exposed to the non-capturing foveolar avascular zone of the selected laser power. In the foveolar avascular zone, power for laser exposure is reduced by 40–50 % of the selected one. Month after the laser treatment, a second stage of laser treatment is detected by means of optical coherent tomography of the macular edema. If observing a decrease in the height of the neuroepithelium edema by more than 50 mcm from the height of the edema at the beginning of the treatment, the laser treatment power used at the second stage is reduced by 50 % as compared to that in the first stage. If the edema height is reduced by less than 50 mcm, the power is reduced by 30 % and the zones of the detected residual neuroepithelial edema are treated. If the residual edema of the neuroepithelium covers the foveolar avascular area, the area is exposed to laser exposure with a power reduced by 30 % relative to the power of the laser exposure used to treat the foveolar avascular region at the first stage of treatment.;EFFECT: method enables to work in an edema zone located in a foveolar avascular region, and if observing a residual edema, laser treatment can be performed in several stages.;1 cl, 2 ex
机译:领域:医学。;物质:发明是指医学,即眼科。借助于光学相干断层扫描,并且当根据光学相干断层扫描获得不超过500mcm的水肿高度值时,存在局部水肿及其高度。用波长为532 nm的激光处理水肿区域。在神经上皮水肿区域选择激光功率,该区域应尽可能远离血管拱廊区域的小叶无血管区域。波长为532 nm的激光凝结器Quantel Medical Supra用于激光施加器。激光施加器以微脉冲模式施加,其参数为:光斑直径为100 mcm,孔隙率为5%,以易于美白的形式暴露于视网膜的微弱反应中0.1 s在激光施加点上。然后功率降低到视网膜凝血反应消失。此外,所获得的功率以亚阈值微脉冲操作模式用于激光治疗。在第一阶段,将神经上皮水肿区暴露于所选激光功率的非捕获性腓骨无血管区。在小叶无血管区,激光照射的功率降低了所选区域的40%至50%。激光治疗一个月后,通过黄斑水肿的光学相干断层扫描检测第二阶段的激光治疗。如果在治疗开始时观察到神经上皮水肿的高度比水肿的高度减少了50 mcm以上,则与第一阶段相比,第二阶段使用的激光治疗功率降低了50%阶段。如果将水肿高度降低了不到50 mcm,则功率降低了30%,并且对检测到的残留神经上皮水肿区域进行了治疗。如果神经上皮的残余水肿覆盖了小叶无血管区域,则该区域暴露于激光照射下,其功率相对于治疗第一阶段用于治疗小叶无血管区域的激光照射功率降低了30%。效果:该方法能够在位于小叶无血管区域的水肿区域中工作,并且如果观察到残留的水肿,可以分几个阶段进行激光治疗。; 1 cl,2 ex

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