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1959年始用光凝固法治疗Coats病。最近Spitznas报告光凝固治疗71眼Coats病,长期结果在71眼中有51眼(72%)认为有效,Morales之22眼Coats病未治疗观察5年,9眼病情恶化,13眼无变化。可见光凝固疗法对Coats病是有效的。作者用光凝固治疗Coats病观察6个月以上者有39例40眼。用氙光光凝固者24眼(X组),用氩激光凝固者12眼(AL组)。两者并用者4眼。疗效为血管病变显著减轻、渗出斑消失者为显效;病变明显减轻者为有效;病变无变化者为不变;病变发展者为恶化。
1959 Photocoagulation therapy for the treatment of Coats disease. Spitznas recently reported photocoagulation in 71 eyes of Coats disease, of which 51 (72%) were considered effective in 71 eyes over a long term, 22 eyes of Morales without treatment for 5 years, 9 eyes deteriorating, and 13 eyes unchanged. Visible light coagulation therapy is effective for Coats disease. The authors used photocoagulation to treat Coats disease in 39 patients and 40 eyes over 6 months. 24 eyes were xenografted with xenon light (group X) and 12 eyes were hardened with argon laser (group AL). Both users and 4 eyes. Efficacy for the vascular lesion was significantly reduced, the disappearance of exudate was markedly effective; significant reduction of lesions were effective; no change in the lesion was unchanged; lesion was worsening.