Laser treatment in 341 patients with exudative age-related macular degeneration

作者：Atmaca Leyla^*; Idil Aysun; Atmaca Sonmez Pelin

来源：International Journal of Ophthalmology, 2011, 4(1): 73-77.

• red krypton laser
• green argon laser
• dye laser
• exudative age-related macular degeneration
• indocyanine green angiography

AIM: To document the prognosis of laser treatment in patients with exudative age-related macular degeneration (AMD).
METHODS: Efficacy of the intervention was evaluated using a before-after method.
RESULTS: A total of 392 eyes of 341 patients with exudative AMD were examined. 77.6% had choroideal neovascularisation (CNV). Before the use of indocyanine green (ICG) angiography, occult CNV was detected in only 1.8% of the eyes, but after the use of ICG angiography, this increased to 19.5% (P<0.001). Of the 349 eyes which were followed up, visual acuity had remained stable in 68.2% of the eyes. There was a statistically significant relationship between localisation of lesion and visual acuity changes on pre- and post-laser treatment (P<0.001). Also there was a statistically significant relationship between localisation of lesion and recurrence (P<0.05). The recurrence was less in subfoveal lesions than that in juxtafoveal and extrafoveal lesions.
CONCLUSION: ICG angiography is highly important in the treatment of occult CNV.

• 出版日期2011-2-18