Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea.
Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea.
Diabetes Metab J. 2020 Dec;44(6):928-932. doi: 10.4093/dmj.2020.0096. Epub 2020 Jul 10.
We performed a retrospective cohort study including people diagnosed with diabetes from 2006 to 2015 according to the Korean National Health Insurance Service-National Sample Cohort database, to analyze the changes in the prevalence, screening rate, and treatment patterns for diabetic retinopathy (DR) over 10 years. The proportion of people who underwent fundus screening for DR steadily increased over the past decade. The prevalence of DR increased from 13.4% in 2006 to 15.9% in 2015, while that of proliferative DR steadily decreased from 1.29% in 2006 to 1.16% in 2015. The proportion of patients undergoing retinal photocoagulation constantly decreased. The prevalence of DR increased over the past decade, while its severity seemed to have improved, with a decreased rate of proliferative DR and retinal photocoagulation. A higher proportion of patients underwent ophthalmic screening using fundus examination, but still less than 30% of patients with diabetes underwent comprehensive examination in 2015.
我们进行了一项回顾性队列研究，纳入了 2006 年至 2015 年根据韩国国家健康保险服务-国家样本队列数据库诊断为糖尿病的患者，以分析 10 年来糖尿病视网膜病变（DR）的患病率、筛查率和治疗模式的变化。过去十年中，眼底筛查 DR 的比例稳步上升。DR 的患病率从 2006 年的 13.4%上升到 2015 年的 15.9%，而增殖性 DR 的患病率从 2006 年的 1.29%稳步下降到 2015 年的 1.16%。视网膜光凝治疗的比例持续下降。过去十年中，DR 的患病率有所上升，但严重程度似乎有所改善，增殖性 DR 和视网膜光凝的比例有所下降。更多的患者接受了眼底检查的眼科筛查，但 2015 年仍有不足 30%的糖尿病患者接受了全面检查。
