Pérez J, Verdaguer J, Mella I
Departamento de Endocrinologia, Hospital Clínico, Universidad de Chile, Santiago de Chile.
Rev Med Chil. 1991 Apr;119(4):443-8.
A 17-year-old patient with long-standing poorly controlled type I diabetes mellitus developed bilateral transient edema of the optic disc with minimal visual impairment. Evaluation with fluoresceins angiography revealed the typical pattern of diabetic papillopathy with disc swelling and peripapillary capillary dilatation. Complete resolution occurred within 6 months, with no specific therapy other than improvement of metabolic control with insulin therapy. Early diagnosis of this complication is required to avoid ocular damage.
一名17岁的1型糖尿病患者，长期血糖控制不佳，出现双侧视盘短暂性水肿，视力仅有轻微损害。荧光素血管造影评估显示出糖尿病性视乳头病变的典型表现，即视盘肿胀和视乳头周围毛细血管扩张。在未进行特殊治疗的情况下，仅通过胰岛素治疗改善代谢控制，6个月内水肿完全消退。需要早期诊断这种并发症以避免眼部损伤。
