血液透析对糖尿病性黄斑渗漏的影响。
Effects of haemodialysis on diabetic macular leakage.
作者信息
Tokuyama T, Ikeda T, Sato K
机构信息
Department of Ophthalmology, Inoue Hospital, Osaka, Japan.
出版信息
Br J Ophthalmol. 2000 Dec;84(12):1397-400. doi: 10.1136/bjo.84.12.1397.
Abstract
AIM
To evaluate the effects of haemodialysis on macular oedema by fluorescein angiography in patients with diabetic retinopathy and end stage renal disease.
METHODS
In this prospective study, fluorescein angiography was performed on 40 eyes of 22 non-insulin dependent diabetic patients with end stage renal disease just before (baseline) and 4 weeks after the beginning of haemodialysis. The change of macular leakage was determined by evaluating the same phase of the angiograms.
RESULTS
Fluorescein angiograms obtained at 4 weeks showed that macular leakage was unchanged in 28/40 eyes (70%), decreased in 4/40 eyes (10%), and increased in 8/40 eyes (20%) when compared with the baseline appearance.
CONCLUSIONS
These results indicate that haemodialysis does not benefit macular leakage in diabetic patients receiving haemodialysis for end stage renal disease.
摘要
目的
通过荧光素血管造影术评估血液透析对糖尿病视网膜病变合并终末期肾病患者黄斑水肿的影响。
方法
在这项前瞻性研究中，对22例非胰岛素依赖型糖尿病合并终末期肾病患者的40只眼在血液透析开始前（基线）和开始后4周进行荧光素血管造影术。通过评估血管造影相同阶段来确定黄斑渗漏的变化。
结果
与基线表现相比，4周时获得的荧光素血管造影显示，40只眼中28只眼（70%）黄斑渗漏无变化，4只眼（10%）黄斑渗漏减少，8只眼（20%）黄斑渗漏增加。
结论
这些结果表明，血液透析对因终末期肾病接受血液透析的糖尿病患者的黄斑渗漏无益处。
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