糖尿病眼病的防治要重视综合治疗

正确认识全身因素如高血糖、高血压和高血脂等对糖尿病视网膜病变的影响和糖尿病不同部位眼病的发生机制，才能正确处理糖尿病眼病，维护好糖尿病患者的视功能。当糖尿病视网膜病变患者发生严重非增生期或增生期改变时，及时行全视网膜光凝是控制视网膜病变的有效措施，对临床有意义的黄斑水肿进行光凝可阻止视力严重下降。在治疗合并青光眼或白内障的糖尿病视网膜病变患者时，应注意到青光眼、白内障手术是视网膜病变进展的高危因素，应采取联合手术。眼科各专业医师要整体认识糖尿病对眼部的影响，相互协作，综合治疗。

Stress on combined management in the prevention and treatment of diabetic retinopathy

It is very important for controlling eye diseases and protecting visual function in diabetic patients to comprehend correctly the effect on diabetic retinopathy of systemic factors such as high blood glucose, hypertension and high serum lipid and to study the pathogenesis of different eye diseases in diabetic patients. Promptly to perform scatter photocoagulation for patients when severe nonproliferative diabetic retinopatby or proliferative diabetic retinopathy appears is an effective measure for preventing diabetic retinopathy progression. Laser photocoagulation for clinically significant macular edema can also prevent from vision deterioration. It should be paid special attention that glaucoma surgery or cataract surgery is a high risk factor of progression of diabetic retinopathy in diabetic patients. Combined surgeries sometimes need to be performed. All subspecialty doctors in ophthalmology should completely know the influence of diabetes on the eyes, and go in collaboration with each other and perform combined management for diabetics.