Massin P, Marre M
Service d'Ophtalmologie, Hôpital Lariboisière, Assistance Publique -Hôpitaux de Paris, Université Paris 7, France.
Diabetes Metab. 2002 Apr;28(2):151-5.
Despite the efficacy of laser photocoagulation to prevent complications of diabetic retinopathy, diabetic retinopathy remains a major cause of visual impairment and blindness in France. This is mainly due to a too late diagnosis of diabetic retinopathy. In an effort to detect diabetic retinopathy at an early stage before visual loss, international and national guidelines for the screening for diabetic retinopathy have been developed, which recommend annual fundus examination for all diabetic patients. In France, a recent survey showed that less than 50% of diabetic patients had had an eye examination during the previous year. With the increasing number of diabetic patients and the decreasing number of ophthalmologists, this situation should not improve by the next 15 years. Fundus photography is a method at least as sensitive as ophthalmoscopy in the screening for diabetic retinopathy. New nonmydriatic cameras and digital photography may allow a network organization of several screening centers around a central ophthalmological reading center where digital images could be transmitted. This organization should improve the screening for diabetic retinopathy, while saving medical time.
尽管激光光凝术在预防糖尿病性视网膜病变并发症方面具有疗效，但在法国，糖尿病性视网膜病变仍是视力损害和失明的主要原因。这主要是由于糖尿病性视网膜病变的诊断过晚。为了在视力丧失之前早期检测出糖尿病性视网膜病变，已经制定了糖尿病性视网膜病变筛查的国际和国内指南，建议对所有糖尿病患者进行年度眼底检查。在法国，最近一项调查显示，不到50%的糖尿病患者在前一年进行过眼部检查。随着糖尿病患者数量的增加和眼科医生数量的减少，这种情况在未来15年内不会得到改善。眼底摄影是一种在糖尿病性视网膜病变筛查中至少与检眼镜检查一样敏感的方法。新型免散瞳相机和数码摄影可能允许围绕一个中央眼科阅片中心建立多个筛查中心的网络组织，在该中心可以传输数字图像。这种组织应能改善糖尿病性视网膜病变的筛查，同时节省医疗时间。
