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土耳其新诊断糖尿病性黄斑水肿患者的临床特征:一项真实世界注册研究-TURK-DEM

Clinical Characteristics of Patients with Newly Diagnosed Diabetic Macular Edema in Turkey: A Real-Life Registry Study-TURK-DEM.

作者信息

Eldem Bora, Ozdek Sengul, Saatci Ali Osman, Ozmert Emin, Ulay Esat, Nomak Gulsah

机构信息

Department of Ophthalmology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Department of Ophthalmology, Gazi University Faculty of Medicine, Ankara, Turkey.

出版信息

J Ophthalmol. 2017;2017:3596817. doi: 10.1155/2017/3596817. Epub 2017 Feb 19.

Abstract

To evaluate the clinical and diagnostic characteristics of patients with newly diagnosed diabetic macular edema (DME) in Turkey in a real-life setting. A total of 945 consecutive patients (mean (SD) age: 61.3 (9.9) years, 55.2% male) with newly diagnosed DME were included. Data on patient demographics, comorbidities, ocular history, ophthalmic examination findings including type of DME, central macular thickness (CMT) via time domain (TD) and spectral domain (SD) optical coherence tomography (OCT), and planned treatments were recorded. OCT (98.8%) and fundoscopy (92.9%) were the two most common diagnostic methods. Diffuse and focal DMEs were detected in 39.2% and 36.9% of cases, respectively. Laser photocoagulation (32.1%) and antivascular endothelial growth factors (anti-VEGF; 31.8%) were the most commonly planned treatments. The median CMT in the right eye was significantly greater in untreated than in treated patients [376.5 m (range: 160-840) versus 342 m (range: 146-999) ( = 0.002)] and in the left eye [370 m (range: 201-780) versus 329 m (range: 148-999) ( < 0.001)]. This study is the first large-scale real-life registry of DME patients in Turkey. SD-OCT and fundoscopy were the most common diagnostic methods. Laser photocoagulation and anti-VEGF therapy were the most common treatments.

摘要

在实际临床环境中评估土耳其新诊断的糖尿病性黄斑水肿(DME)患者的临床和诊断特征。共纳入945例连续的新诊断DME患者(平均(标准差)年龄:61.3(9.9)岁,男性占55.2%)。记录患者的人口统计学数据、合并症、眼部病史、眼科检查结果,包括DME类型、通过时域(TD)和频域(SD)光学相干断层扫描(OCT)测量的中心黄斑厚度(CMT)以及计划的治疗方案。OCT(98.8%)和检眼镜检查(92.9%)是两种最常用的诊断方法。分别在39.2%和36.9%的病例中检测到弥漫性和局灶性DME。激光光凝(32.1%)和抗血管内皮生长因子(抗VEGF;31.8%)是最常用的计划治疗方法。未治疗患者右眼的CMT中位数显著高于治疗患者[376.5μm(范围:160 - 840)对342μm(范围:146 - 999)(P = 0.002)],左眼也是如此[370μm(范围:201 - 780)对329μm(范围:148 - 999)(P < 0.001)]。本研究是土耳其首个关于DME患者的大规模实际临床登记研究。SD - OCT和检眼镜检查是最常用的诊断方法。激光光凝和抗VEGF治疗是最常用的治疗方法。

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Updates in the management of diabetic macular edema.糖尿病性黄斑水肿治疗的进展
J Diabetes Res. 2015;2015:794036. doi: 10.1155/2015/794036. Epub 2015 Apr 23.
2
Is laser photocoagulation treatment currently useful in diabetic macular edema?
Med Hypothesis Discov Innov Ophthalmol. 2015 Spring;4(1):5-8.
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Current concepts in diabetic retinopathy.糖尿病视网膜病变的当前概念。
Diabetes Metab J. 2014 Dec;38(6):416-25. doi: 10.4093/dmj.2014.38.6.416.
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Laser treatment for diabetic macular edema in the 21st century.21世纪糖尿病性黄斑水肿的激光治疗
Curr Diabetes Rev. 2014 Mar;10(2):100-12. doi: 10.2174/1573399810666140402123026.

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