2型糖尿病视网膜病变荧光素眼底血管造影随访观察  

Fluorescence fundus angiography in patients with non-insulin dependent diabetic retinopathy

作　　者：李爽 郑慧君 张春燕 方少概 林惠岳 

机构地区：[1]广东省汕尾逸挥基金医院眼科,516600

出　　处：《眼科新进展》2007年第12期918-919,共2页Recent Advances in Ophthalmology

基　　金：汕尾市科委科学基金资助(编号:20060715)~~

摘　　要：目的长期动态随访观察汕尾地区确诊的2型糖尿病患者视网膜病变的进展。方法对确诊为糖尿病的50例100眼患者散瞳详细检查眼底,并行荧光素眼底血管造影检查。观察对象均为无视网膜病变或非增生性糖尿病性视网膜病变,定期门诊随访并检测血糖水平。结果定期随访5a后,发现有11眼进展至增生性糖尿病性视网膜病变,其中血糖控制满意60眼中有2眼,而血糖控制不满意40眼中有9眼,二者比较,差异有显著性(P<0.005)。对糖尿病性黄斑水肿及增生前期、增生期视网膜病变行及时的光凝治疗,以避免视力下降。结论糖尿病视网膜病变发生的严重程度与糖尿病病程、血糖控制程度有关;行荧光素眼底血管造影检查,及时的光凝治疗,可以降低糖尿病视网膜病变引起的视力损伤。Objective To study the development of retinopathy in patients with non-insulin dependent diabetes. Methods One hundred eyes of 50 diabetic cases of non-retinopathy or non-proliferative diabetic retinopathy were followed up for five years, and the fimdus of eyes was examined with fluorescence fimdus angiography and the level of blood sugar was detected. Results Two eyes in 60 well-controlled blood sugar eyes and 9 eyes in 40 bad-controUed blood sugar eyes were progressed to proliferative diabetic retinopathy. The therapy of photo-coagulation was used in time to avoid the decrease of sight in patients with macttlar edema, prophase and proliferative stage. Conclusion The degree of diabetic retinopathy is associated with the course of diabetes and its blood sugar control extent. The examine of fluorescence fundus angiography and timely photo-coagulation therapy can decrease sight damage caused by diabetic retinopathy.

关 键 词：荧光素眼底血管造影 视网膜病变 2型糖尿病 

分 类 号：R774.1[医药卫生—眼科]