糖尿病患者玻璃体积血病因分析

目的:分析糖尿病患者玻璃体出血的原因,为相关疾病的诊治提供资料。方法:对2004-04/2007-06我科收治的126例(142眼)玻璃体积血的糖尿病患者情况进行回顾性分析。结果:增殖性糖尿病视网膜病变(proliferative diabetic reti-nopathy,PDR)122眼(85.9%),视网膜静脉阻塞(retinal vein occlusion,RVO)10眼(7.0%),视网膜裂孔(retinal hole,RH)6眼(4.2%),玻璃体后脱离(posterior vitreous detachment,PVD)4眼(2.8%);PDR组患者对侧眼糖尿病视网膜病变显著重于其余各组。结论:增殖性糖尿病视网膜病变是糖尿病患者玻璃体出血的主要原因,此外,视网膜静脉阻塞、视网膜裂孔和玻璃体后脱离也占有一定比例;通过对侧眼情况的评估,有助于玻璃体出血原因的判断。

Analysis of the causes of vitreous hemorrhage in diabetes mellitus

AIM: To investigate the causes of vitreous hemorrhage in diabetes mellitus. ·METHODS: The ocular conditions in a total of 126 cases (142 eyes) of vitreous hemorrhage patients with diabetes, who underwent vitrectomy from April 2004 to June 2006, were analyzed retrospectively. ·RESULTS: The causes of vitreous hemorrhage were proliferative diabetic retinopathy (PDR) in 122 eyes (85.9%), retinal vein occlusion (RVO) in 10 eyes (7.0%), retinal hole (RH) in 6 eyes (4.2%) and posterior vitreous detachment (PVD) in 4 eyes (2.8%). The diabetic retinopathy grades of contralateral eyes were much more severe in PDR group. ·CONCLUSION: PDR is the main cause of vitreous hemorrhage in diabetes mellitus, while RVO, RH and PVD account for other causes. Analysis of the contralateral eye conditions can help to judge the reason of vitreous hemorrhage.