Tadayoni R, Massin P
Service d'Ophtalmologie, Hôpital Lariboisière 75475 PARIS Cedex 10.
Ann Endocrinol (Paris). 2003 Jun;64(3 Suppl):S45-50.
The screening of diabetic retinopathy is still largely insufficient and consequently, its management is often delayed. The various recommendations indicate a fundus examination at diabetes diagnosis and yearly thereafter. In France, this is far to be reached, and this situation is at risk of aggravation with the increasing number of diabetic patients and the decreasing number of ophthalmologists. New efficient tools, as the non-mydriatic cameras and digital photography, may allow a new network organisation for screening of diabetic retinopathy, with local screening sites linked to a centralised ophthalmological reading center where digital images could be transmitted. The various aspects of this screening and possibilities to improve the screening and early management of diabetic retinopathy are discussed in this paper.
糖尿病视网膜病变的筛查目前仍严重不足，因此其治疗往往被延误。各种建议都指出应在糖尿病诊断时进行眼底检查，此后每年检查一次。在法国，这一目标远未实现，而且随着糖尿病患者数量的增加和眼科医生数量的减少，这种情况有恶化的风险。新型高效工具，如免散瞳相机和数码摄影技术，可能会为糖尿病视网膜病变的筛查带来新的网络组织形式，即本地筛查点与集中的眼科阅片中心相连，数字图像可以传输到该中心。本文将讨论这种筛查的各个方面以及改善糖尿病视网膜病变筛查和早期治疗的可能性。
