眼部疾病。视网膜病变。糖尿病患者的预期情况。

Eye disorders. Retinopathy. What to expect in the diabetic patient.

作者信息

Fetkenhour C L

出版信息

Postgrad Med. 1976 Jan;59(1):215-18. doi: 10.1080/00325481.1976.11716539.

DOI:10.1080/00325481.1976.11716539

Abstract

Two forms of diabetic retinopathy are recognized clinically--nonproliferative and proliferative. Nonproliferative diabetic retinopathy is characterized by microaneurysms, hemorrhages, hard exudates, retinal edema, cotton-wool spots, and intraretinal microvascular abnormalities. The general outlook is optimistic, and most people with nonproliferative diabetic retinopathy will maintain useful vision for a long time. Proliferative diabetic retinopathy is characterized by formation of neovascular tissue on the surface of the retina or optic disk. Aspirin, photocoagulation, or vitrectomy may be used in treatment, depending on the type of retinopathy and its stage of progression.

摘要

临床上公认有两种形式的糖尿病视网膜病变——非增殖性和增殖性。非增殖性糖尿病视网膜病变的特征为微动脉瘤、出血、硬性渗出、视网膜水肿、棉絮斑和视网膜内微血管异常。总体预后乐观，大多数非增殖性糖尿病视网膜病变患者将长期保持有用视力。增殖性糖尿病视网膜病变的特征是在视网膜表面或视盘上形成新生血管组织。根据视网膜病变的类型及其进展阶段，可采用阿司匹林、光凝或玻璃体切除术进行治疗。