巩膜后注射曲安奈德治疗视网膜色素变性黄斑水肿的短期疗效分析

劣虹璇; 李世迎; 刘勇; 孟晓红; 阴正勤

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巩膜后注射曲安奈德治疗视网膜色素变性黄斑水肿的短期疗效分析

论著 | 更新时间：2026-01-09

- 巩膜后注射曲安奈德治疗视网膜色素变性黄斑水肿的短期疗效分析
- Efficacy of post-sclera injection of triamcinolone acetonide on patients with retinitis pigmentosa accompanied by macula edema
- 陆军军医大学学报 2015年37卷第8期页码：804-808
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  中图分类号： R452;R774.505;R988.1
- 纸质出版：2015
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劣虹璇,李世迎,刘勇,孟晓红,阴正勤.巩膜后注射曲安奈德治疗视网膜色素变性黄斑水肿的短期疗效分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(08 ):804-808.　Lie Hongxuan,Li Shiying,Liu Yong,Meng Xiaohong,Yin Zhengqin.Efficacy of post-sclera injection of triamcinolone acetonide on patients with retinitis pigmentosa accompanied by macula edema[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(08 ):804-808.

劣虹璇, 李世迎, 刘勇, et al. Efficacy of post-sclera injection of triamcinolone acetonide on patients with retinitis pigmentosa accompanied by macula edema[J]. Journal of Army Medical University, 2015, 37(8): 804-808.
劣虹璇,李世迎,刘勇,孟晓红,阴正勤.巩膜后注射曲安奈德治疗视网膜色素变性黄斑水肿的短期疗效分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(08 ):804-808.　Lie Hongxuan,Li Shiying,Liu Yong,Meng Xiaohong,Yin Zhengqin.Efficacy of post-sclera injection of triamcinolone acetonide on patients with retinitis pigmentosa accompanied by macula edema[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(08 ):804-808. DOI：

劣虹璇, 李世迎, 刘勇, et al. Efficacy of post-sclera injection of triamcinolone acetonide on patients with retinitis pigmentosa accompanied by macula edema[J]. Journal of Army Medical University, 2015, 37(8): 804-808. DOI：

摘要

目的观察巩膜后注射曲安奈德（triamcinolone acetonide，TA）在视网膜色素变性（retinitis pigmentosa，RP）黄斑水肿患者治疗中的安全性和临床疗效。方法纳入2013-2014年西南医院眼科门诊确诊为RP黄斑水肿患者10例，其中男性5例，女性5例；年龄（34.9±13.6）岁，均为双眼发病。手术前行视力、眼压、眼底彩色照相、眼底自发荧光（fundus autofluorescence，FAF）、眼底荧光造影（fundus fluorescein angiography，FFA）、光学相干断层扫描（optical coherence tomography，OCT）、闪光视网膜电图（flash electroretinogram，FERG）及多焦视网膜电图（multifocal electroretinogram，mfERG）等检查。单眼行巩膜后注射TA 20 mg，观察治疗眼术后视力、眼压、黄斑1~9区OCT等变化以及相关并发症情况。结果 10例患者术后1周黄斑中心凹（1区）厚度较术前下降[（298.7±146.2） vs （358.4±152.2）μm，P=0.073]，术后1个月1区厚度较术前显著下降[（279.6±130.5） vs （358.4±152.2）μm，P=0.023]。与术前相比，10例患者黄斑1~9区平均厚度在术后1周[（284.3±76.8） vs （301.9±83.3）μm，P=0.047]及术后1个月[（271.9±68.7） vs （301.9±83.3）μm，P=0.011]均明显下降。患者术后1周、1个月视力较术前分别提高2个和6个字母数。无术后高眼压、结膜出血、感染等并发症。结论巩膜后注射TA可用于治疗RP黄斑水肿，未出现并发症，并能有效减轻黄斑水肿。

Abstract

Objective To observe the safety and clinical efficacy of post-sclera injection of triamcinolone acetonide on patients with retinitis pigmentosa accompanied by macula edema. Methods Ten patients with retinitis pigmentosa accompanied by macula edema were recruited in Southwest hospital ophthalmology clinics in 2013-2014. The patients were 5 males and 5 females

34.9±13.6 years old

and both eyes were diseased. Visual acuity

intraocular pressure

fundus color photography

fundus autofluorescence (FAF)

fundus fluorescein angiography (FFA)

optical coherence tomography (OCT)

flash electroretinogram (FERG)

and multifocal electroretinogram (mfERG) were applied before surgery. Monocular post-sclera injection of triamcinolone acetonide (20 mg) was performed. Parameters of visual acuity

intraocular pressure

and OCT changes of macular area were observed after surgery. Related postoperative complications were also recorded. Results The thickness of macular fovea (1 zone) of the 10 patients was decreased in postoperative 1 week and 1 month as compared with the preoperative value

and the difference between postoperative 1 month and pre-operation was statistically significant (279.6±130.5 vs 358.4±152.2 μm

P=0.023)

however

the difference between postoperative 1 week and pre-operation was not significant (298.7±146.2 vs 358.4±152.2 μm

P=0.073). Compared with the preoperative value

the average thickness of macular 1-9 zones was significantly decreased in postoperative 1 week (284.3±76.8 vs 301.9±83.3 μm

P=0.047) and in postoperative 1 month (271.9± 68.7 μm vs 301.9±83.3 μm

P=0.011). Visual acuity was improved

and the alphabet numbers were averagely increased by 2 and 6 in postoperative 1 week and 1 month

respectively. Postoperative high intraocular pressure

conjunctival hemorrhage

infection

and other adverse reactions were not seen. Conclusion Post-sclera injection of triamcinolone acetonide can effectively alleviate macular edema caused by retinitis pigmentosa without any complications.

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