眼底荧光造影检查对筛检糖尿病眼底病变的临床价值

目的：探讨眼底荧光造影检查在糖尿病眼底病变筛查中的应用价值。方法方便选取2013年1月—2016年1月以眼底镜和眼底荧光造影检查该院收治的78例(156眼)糖尿病患者进行眼底病变筛查,依DR分期标准对筛查出的糖尿病视网膜病变进行分期,并以此为基础给予患者治疗指导。结果眼底荧光造影对糖尿病眼底病变的检出率显(82.50%)著高于眼底镜下检查(67.31%)。比较差异有统计学意义(P﹤0.05)。 DR分期I期47眼(30.1%)。 II期29眼(18.6%),III期25眼(16.0%),IV期17眼(10.9%),V期7眼(4.5%),VI期3眼(1.9%)。结论以眼底荧光造影筛查糖尿病眼底病变检出率高,可作为指导眼底病变治疗的重要参考指标在临床推广使用。

Fundus Fluorescence Angiography Revealed the Clinical Value of Screening Diabetic Retinal Pathological Changes

Objective To explore the application value of fundus fluorescein angiography in screening of diabetic retinopa-thy. Methods Convenient selection who were admitted to our hospital in January 2013 to January 2016 By ophthalmoscopy and fundus fluorescence angiography 78 cases (156 eyes) in patients with diabetes mellitus retinopathy screening, according to Dr staging criteria for diagnosis of diabetic retinopathy staging, and thus as the foundation to give guidance of treatment. Results The detection rate of fundus fluorescein angiography in diabetic retinopathy (82.50%) was higher than that in the fundus examination (67.31%). The difference was statistically significant (P< 0.05). DR stage I period of 47 eyes (30.1%). II phase 29 eyes(18.6%), III phase 25 eyes(16%), IV phase 17 eyes(10.9%), V phase 7 eyes(4.5%), VI phase 3 eyes (1.9%). Conclusion The detection rate of fundus fluorescein angiography in diabetic retinopathy is high, which can be used as an important reference index to guide the treatment of ocular fundus diseases.