Bandello Francesco, Battaglia Parodi Maurizio, Lanzetta Paolo, Loewenstein Anat, Massin Pascale, Menchini Francesca, Veritti Daniele
Dev Ophthalmol. 2017;58:102-138. doi: 10.1159/000455277. Epub 2017 Mar 28.
Diabetic macular edema (DME), defined as a retinal thickening involving or approaching the center of the macula, represents the most common cause of vision loss in patients affected by diabetes mellitus. In the last few years, many diagnostic tools have proven to be useful in the detection and the monitoring of the features characterizing DME. On the other hand, several therapeutic approaches can now be proposed on the basis of the DME-specific characteristics. The aim of the present chapter is to thoroughly delineate the clinical and morphofunctional characteristics of DME and its current treatment perspectives. The pathogenesis and the course of DME require a complex approach with multidisciplinary intervention both at the systemic and local levels.
糖尿病性黄斑水肿(DME)定义为累及或接近黄斑中心的视网膜增厚,是糖尿病患者视力丧失的最常见原因。在过去几年中,许多诊断工具已被证明对检测和监测DME的特征很有用。另一方面,现在可以根据DME的特定特征提出几种治疗方法。本章的目的是全面描述DME的临床和形态功能特征及其当前治疗前景。DME的发病机制和病程需要在全身和局部层面采取多学科干预的复杂方法。