方法：对58例66眼不同原因导致的黄斑囊样水肿患者，给予球后注射曲安奈德联合577nm激光黄斑部格栅样光凝治疗，观察所有病例激光后第1wk； 1，3mo最佳矫正视力、黄斑厚度、眼底及眼压情况。

结果：所有66眼中，光相干断层成像技术及眼底荧光造影检查示黄斑囊样水肿均部分或完全消退，54眼(82%)视力好转，12眼视力不变。

结论：对于黄斑囊样水肿，球后注射曲安奈德联合577nm激光黄斑部格栅样光凝，治疗效果好，操作简单，并发症少。

METHODS: Fifty-eight cases(66 eyes)with cystoid macular edema caused by different diseases were recruited in this study. The included patients were treated with both retrobulbar injection of triamcinolone acetonide and 577nm laser macular grid photocoagulation. The best corrected visual acuity, macular thickness, fundus and intraocular pressure were observed in the 1wk, 1 and 3mo after the treatment in all of the included cases.

RESULTS: After treatment, all of the 66 eyes showed cystoid macular edema partially or completely subsided according to optical coherence tomography and fluorescence fundus angiography; 54 eyes(82%)visual acuity improved, 12 vision remained the same.

CONCLUSION: Retrobulbar injection of triamcinolone acetonide combined with 577nm laser macular grid photocoagulation has good curative effect, simple operation procedure and rare complications in the management of cystoid macular edema.