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糖尿病与视网膜血管性眼病。

Diabetic and Retinal Vascular Eye Disease.

机构信息

John A. Moran Eye Center, 65 North Mario Capecchi Drive, Salt Lake City, UT 84132, USA.

John A. Moran Eye Center, 65 North Mario Capecchi Drive, Salt Lake City, UT 84132, USA.

出版信息

Med Clin North Am. 2021 May;105(3):455-472. doi: 10.1016/j.mcna.2021.02.004. Epub 2021 Apr 2.

Abstract

The retinal vasculature is the only neurovascular system directly visible to the human eye, easily evaluated by fundoscopy and many imaging modalities. This window allows physicians to diagnose and treat retinal pathologies and detect systemic diseases including diabetes, hypertension, hypercoagulable/hyperviscosity syndromes, and vasculitis. Diabetic retinopathy is the most common retinal vascular disease, followed by retinal vein and artery occlusion. Patients with these conditions require medical optimization to prevent further damage to the eyes and to the other organs. Both the internists and medical subspecialists play a crucial role in the prevention, detection, evaluation, and management of vision-threatening retinal vascular diseases.

摘要

视网膜血管是人体肉眼唯一可见的神经血管系统,通过眼底镜和多种成像方式可以轻松评估。这一窗口使医生能够诊断和治疗视网膜病变,并发现包括糖尿病、高血压、高凝/高黏综合征和血管炎在内的系统性疾病。糖尿病视网膜病变是最常见的视网膜血管疾病,其次是视网膜静脉和动脉阻塞。这些疾病的患者需要进行医疗优化,以防止眼睛和其他器官的进一步损伤。内科医生和医学亚专科医生在预防、发现、评估和治疗威胁视力的视网膜血管疾病方面都发挥着至关重要的作用。

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