Smecka Z, Smecková M, Karhan J, Rehák J
Acta Univ Palacki Olomuc Fac Med. 1989;122:295-8.
Our group of 200 with laser treated diabetics included 5 patients (2.5%) with bilaterally treated primary simple glaucoma. All of them had diabetic maculopathy exclusively within the range of simple diabetic retinopathy. The focal type of maculopathy occurred 5 times, the cystoid 3 times, the ischemic once. There was emphasized the necessity to devote increased care to diabetics with glaucoma because for them glaucoma represents a risk factor regarding the further development of the visual function and the extent of the visual field. On the other hand, the decreased foveolar sensitivity in some diabetics with glaucoma may reduce the visual acuity which thus becomes an unreliable criterion of the success of the laser therapy.
我们的200名接受激光治疗的糖尿病患者中,有5例(2.5%)患有双侧原发性单纯性青光眼。他们均仅患有单纯糖尿病视网膜病变范围内的糖尿病性黄斑病变。黄斑病变的局灶型出现5次,囊样型出现3次,缺血型出现1次。强调了对青光眼糖尿病患者给予更多关注的必要性,因为对他们而言,青光眼是视觉功能进一步发展和视野范围的一个危险因素。另一方面,一些青光眼糖尿病患者的黄斑中心凹敏感性降低可能会降低视力,因此视力成为激光治疗成功与否的不可靠标准。