Zghal-Mokni I, Jeddi A, Malouche N, Hadj Alouane W, Gaigi S, Ayed S
Institut National de Nutrition, Tunis, Tunisie.
J Fr Ophtalmol. 2003 Sep;26(7):734-7.
Diabetic retinopathy is one of the diabetic microangiopathy complications generally occurring after insulin-dependent diabetes has evolved for a few years. We report a 27-year-old woman with severe nonproliferative diabetic retinopathy discovered at the time of insulin-dependent diabetes diagnosis. Argon laser photocoagulation of retinal ischemic territories was initiated. The disease progressed to proliferative diabetic retinopathy. Diabetic retinopathy incidence, onset and severity in insulin-dependent diabetics is discussed. Systematic ophthalmic examination seems necessary at the onset of insulin-dependent or non-insulin-dependent diabetes.
糖尿病视网膜病变是糖尿病微血管病变的并发症之一，通常在胰岛素依赖型糖尿病发展数年之后出现。我们报告了一名27岁女性，在胰岛素依赖型糖尿病诊断时被发现患有严重的非增殖性糖尿病视网膜病变。对视网膜缺血区域进行了氩激光光凝治疗。疾病进展为增殖性糖尿病视网膜病变。本文讨论了胰岛素依赖型糖尿病患者中糖尿病视网膜病变的发病率、发病情况及严重程度。在胰岛素依赖型或非胰岛素依赖型糖尿病发病时，进行系统的眼科检查似乎很有必要。
