Weill-Cornell Medical College of Cornell University, 1300 York Avenue, New York, NY 10021, USA; MaculaCare, PLLC, 52 East 72nd Street, New York, NY 10021, USA.
Endocrinol Metab Clin North Am. 2013 Dec;42(4):721-45. doi: 10.1016/j.ecl.2013.08.001.
More Americans become blind each year from microvascular complications of diabetes than from any other cause. Several studies have indicated that tight glucose control and lifestyle modification can dramatically reduce the incidence and prevalence of diabetic retinopathy. Research over the past several years has yielded a tremendous increase in our knowledge of the pathogenesis of the damage to the retina that occurs in diabetes and has facilitated our ability to intervene and control the damage. New intravitreal medical therapies supported by government- and industry-supported research are gradually replacing standard laser photocoagulation for the treatment of all forms of retinopathy.
每年因糖尿病微血管并发症而失明的美国人比其他任何原因都多。几项研究表明,严格的血糖控制和生活方式的改变可以显著降低糖尿病视网膜病变的发病率和患病率。过去几年的研究使我们对糖尿病视网膜损伤的发病机制有了巨大的了解,并提高了我们干预和控制损伤的能力。在政府和行业支持的研究的支持下,新的眼内药物治疗方法正在逐渐取代标准的激光光凝治疗各种形式的视网膜病变。