国际眼科纵览 ›› 2013, Vol. 37 ›› Issue (4): 234-238.doi: 103706/ cma.j.issn.16735803201304004

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白内障术后黄斑囊样水肿诊断与治疗进展

蔡蕾 杨晋 卢奕   

  1. 200031 上海,复旦大学附属眼耳鼻喉科医院眼科
  • 收稿日期:2012-12-21 出版日期:2013-08-22 发布日期:2013-09-03
  • 通讯作者: 卢奕,Email: luyi_eent@yahoo.com.cn E-mail:luyi_eent@yahoo.com.cn

Progress of diagnosis and treatment on pseudophakic cystoid macular edema

CAI Lei, YANG Jin, LU Yi   

  1. Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai 200031, China
  • Received:2012-12-21 Online:2013-08-22 Published:2013-09-03
  • Contact: LU Yi, Email: luyi_eent@yahoo.com.cn E-mail:luyi_eent@yahoo.com.cn

摘要: 白内障术后人工晶状体眼黄斑囊样水肿(pseudophakic cystoid macular edema,PCME)是导致白内障术后视力不佳的常见原因,其发生受眼底相关疾病、年龄、手术方法等许多因素影响。相干光断层扫描(optical coherence tomography, OCT)检查目前已成为PCME早期诊断及术前眼底评估的重要手段。应用抗血管内皮生长因子制剂治疗PCME成为近年来的新热点,而OCT检查为治疗效果的评估和比较提供快速客观的依据,已成为目前评估治疗效果的常用方法。

Abstract: Pseudophakic cystoid macular edema (PCME) is a common cause of visual impairment after cataract surgery. The pathogenesis of PCME is complex,which is related to fundus disease, aging, cataract surgical method, and many other factors. Optical coherence tomography (OCT) is now an important tool for disease diagnosis and retinopathy evaluation before cataract surgery. Use of antivascular endothelial growth factor has been becoming a new way to treat PCME in recent years. OCT, which provides fast and objective evidence for the assessment and comparison of different treatment options, has now been commonly used to evaluate the therapeutic effect for PCME.