糖尿病性黄斑病变

本文观察65例有黄斑病变的糖尿病患者。全部患者均作眼科常规检查,详细检查眼底,除8只眼不能窥见眼底外,其余122眼均作彩色眼底照像和眼底血管荧光造影。属单纯型者40眼,占32.80%,增殖型82眼,占67.20%。按Sigelmen’s分期法,糖尿病性黄斑病变Ⅰ期17眼,占13.93%,Ⅱ期41眼,占33.60%,Ⅲ期40眼,占32.80%,Ⅳ期24眼,占19.67%。本组病例视力≥0.3者66眼,占54.00%,<0.3者56眼,占46.00%,<0.05者22眼,占18.00%。近半数患者为低视力和盲目,这些患者主要血糖控制不佳,病程较长,患者来诊时均属较晚期。故此作者认为眼科医师和内科医师有责任对糖尿病患者作有效的指导,以便避免严重的糖尿病视网膜病变和其他并发症的发生。本文还讨论了发病机理和治疗方法。

Clinical observation of macular disease in patients with diabetic retinopathy]

The population was 65 cases (122 eyes) of diabetic macular disease. Background diabetic retinopathy was observed in 40 eyes, i.e., 32.80%. For the 82 eyes present proliferative diabetic retinopathy, i.e., 67.20%. According to Sigelmen's classification, 17 eyes were in stage I, i.e., 13.93% of the cases; 41 eyes were in stage II, i.e., 33.60% of the cases; 40 eyes were in stage III, i.e., 32.80% of the cases; 24 eyes were in stage IV, i.e., 19.67% of the cases. There were 122 eyes in this group. The visual acuity of 66 eyes showed > or = 0.3, i.e., 54.00%, while that of 56 eyes showed 40.3 i.e. 46.00%. Nearly half patients showed low visual acuity and loss of vision. This result was responsible for the cases who were at the late stage of diabetic and with a long history of diabetic or the diabetic was poorly controlled. So the writer appeal to ophthalmologists and physicians to prescribe the effective guides to all the diabetic patients. We suggest that it is important that dynamic observation be carried out of hemorhelological manifestation and early treatment diabetic retinopathy for the clinical prevention and treatment of diabetic retinopathy.