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2 型糖尿病患者中后玻璃体脱离的患病率及其对糖尿病视网膜病变的影响：Sankara Nethralaya 糖尿病视网膜病变流行病学和分子遗传学研究 SN-DREAMS 报告第 23 号。

Prevalence of posterior vitreous detachment in the population with type II diabetes mellitus and its effect on diabetic retinopathy: Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetic Study SN-DREAMS report no. 23.

机构信息

Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, 18, College Road, Chennai, 600 006, Tamil Nadu, India.

出版信息

Jpn J Ophthalmol. 2012 May;56(3):262-7. doi: 10.1007/s10384-012-0134-7. Epub 2012 Apr 3.

DOI:10.1007/s10384-012-0134-7
PMID:22476626
Abstract

OBJECTIVE

To report the prevalence of posterior vitreous detachment (PVD), and predisposing factors to PVD and their effect on diabetic retinopathy.

STUDY DESIGN

Population-based study.

METHODS

The study included subjects with type II diabetes mellitus enrolled from a cross-sectional study. Participants underwent a biochemical examination, and a comprehensive ocular examination which included stereo fundus photography. Diabetic retinopathy was graded by use of Klein's classification and diabetic maculopathy was graded by use of the Early Treatment Diabetic Retinopathy Study (ETDRS) criteria. The status of the posterior vitreous was assessed by use of B-scan ultrasonography.

RESULTS

The prevalence of PVD was 63.3 %. The risk factors for PVD included age, gender, sight-threatening diabetic retinopathy, and axial length. It was observed that incomplete PVD could lead to sight-threatening diabetic retinopathy.

CONCLUSION

We report the prevalence and risk factors of PVD in subjects with diabetes mellitus. Incomplete PVD is a major risk factor for sight-threatening diabetic retinopathy.

摘要

目的

报告后玻璃体脱离（PVD）的患病率，以及 PVD 的易患因素及其对糖尿病视网膜病变的影响。

研究设计

基于人群的研究。

方法

该研究纳入了来自一项横断面研究的 II 型糖尿病患者。参与者接受了生化检查和全面的眼部检查，包括立体眼底照相。糖尿病视网膜病变采用 Klein 分类分级，糖尿病性黄斑病变采用早期治疗糖尿病视网膜病变研究（ETDRS）标准分级。通过 B 型超声扫描评估后玻璃体的状态。

结果

PVD 的患病率为 63.3%。PVD 的危险因素包括年龄、性别、威胁视力的糖尿病视网膜病变和眼轴长度。研究发现，不完全性 PVD 可导致威胁视力的糖尿病视网膜病变。

结论

我们报告了糖尿病患者中 PVD 的患病率和危险因素。不完全性 PVD 是威胁视力的糖尿病视网膜病变的一个主要危险因素。

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