3结语 由于ARMD的致病因素及其病理生理机制以及该疾病的发生和发展过程尚无完全明了,所以在ARMD的治疗方面仍然没有出现一些有效的措施,现今医学界对新生血管型年龄相关性黄斑变性的治疗已经进行了大量的观察研究,以强有力的数据资料说明:激光光凝仅适用于少部分患者,而且治疗效果不尽人意;使用维替洛芬的光动力疗法,经瞳孔热疗等短期疗效较好,但如何减少治疗后CNV复发和残留,还要大样本长期随访;而像黄斑下手术之类的手术治疗其效果还需要大量的临床资料来进行观察,同时减少手术所带来的并发症也是需要攻克的一个难关;放射治疗的方法和技术还需要进一步完善;近年来不断涌现出的血管内皮生长因子抑制剂,皮质类固醇药物,维生素和矿物质元素尤其是锌等这一类老药新用,给人们带来了新的希望,然而将其应用于ARMD的治疗方面还需要更进一步的观察;国内也有报道将抗氧化类物质例如银杏提取物等应用于ARMD治疗,国外也有开展,但都因为观察样本量较小而无明显的说服力。期望在不久的将来能够探讨出一个有效的针对于ARMD的综合治疗方案,并在早期治疗方面有所突破。对于老年性眼病的防治工作具有重要意义。
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