Shea M
Can Fam Physician. 1985 Jul;31:1403-41.
Many diabetics go through life without ocular examination until complications begin. Ophthalmological consultation should be annual, and ocular complications are best prevented by tight control of blood sugar, best achieved at present with the insulin pump. This article describes diagnosis and management of diabetic retinopathy according to type of diabetes. It also describes indications for pars plana vitrectomy, cataract removal and lens implant. Close cooperation between family physician and ophthalmologist ensures prompt intervention to preserve vision.
许多糖尿病患者在并发症出现之前一生中都未进行眼部检查。眼科会诊应每年进行一次,通过严格控制血糖能最好地预防眼部并发症,目前使用胰岛素泵可最佳地实现血糖控制。本文根据糖尿病类型描述了糖尿病视网膜病变的诊断和管理。还描述了玻璃体切割术、白内障摘除术和晶状体植入的适应症。家庭医生和眼科医生之间的密切合作可确保及时干预以保护视力。