Nasrallah F P, Jalkh A E, Van Coppenolle F, Kado M, Trempe C L, McMeel J W, Schepens C L
Eye Research Institute of Retina Foundation, Boston, MA 02114.
Ophthalmology. 1988 Oct;95(10):1335-9. doi: 10.1016/s0161-6420(88)33004-6.
The authors assessed retrospectively clinical records of 76 patients (125 eyes) 60 years of age or older with diabetic retinopathy who had undergone a vitreous examination. The groups consisted of 105 eyes (63 patients) with macular edema and 20 eyes (13 patients) without macular edema. Vitreous studies were done using the El Bayadi-Kajiura lens to determine whether or not the posterior vitreous was attached to the retina in the macula. Twenty-one of 105 eyes (20.0%) in the edema group and 11 of 20 eyes (55.0%) in the no-edema group had a detached posterior vitreous. This difference was found to be statistically significant, indicating that diabetic cases without macular edema have a significantly higher rate of posterior vitreous detachment than those with macular edema. This study demonstrates that the vitreous may play a role in diabetic macular edema.
作者回顾性评估了76例（125只眼）60岁及以上患有糖尿病性视网膜病变且接受过玻璃体检查的患者的临床记录。这些组包括105只眼（63例患者）有黄斑水肿和20只眼（13例患者）无黄斑水肿。使用El Bayadi-Kajiura透镜进行玻璃体研究，以确定黄斑区玻璃体后界膜是否与视网膜分离。水肿组105只眼中的21只（20.0%）和无水肿组20只眼中的11只（55.0%）有玻璃体后脱离。发现这种差异具有统计学意义，表明无黄斑水肿的糖尿病病例玻璃体后脱离的发生率明显高于有黄斑水肿的病例。这项研究表明玻璃体可能在糖尿病性黄斑水肿中起作用。
