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非眼科医生的糖尿病视网膜病变。

Diabetic retinopathy for the non-ophthalmologist.

机构信息

St Thomas' Hospital, London, UK

University of Nottingham School of Medicine, Nottingham, UK.

出版信息

Clin Med (Lond). 2022 Mar;22(2):112-116. doi: 10.7861/clinmed.2021-0792.

Abstract

Diabetic retinopathy is a microangiopathy resulting from the chronic effects of diabetes mellitus. Healthcare professionals often work in isolation to deliver highly specialised care efficiently and effectively for people living with diabetes. It is not uncommon for people with diabetes to be making frequent visits to community and hospital clinics to see a variety of specialists and healthcare professionals, with seemingly little opportunity for coordination of this complex health management programme between the wider team. In a field that is so diverse and rapidly changing, healthcare professionals of all specialties need to be aware of developments across all aspects of diabetes management. In this article, we discuss the epidemiology and natural history of diabetic retinopathy and describe an approach to its assessment and diagnosis. We provide an overview of the principles of diabetic retinopathy management and outline possible future treatments for diabetic retinopathy.

摘要

糖尿病视网膜病变是一种由糖尿病的慢性影响引起的微血管病变。医疗保健专业人员通常孤立地工作,以高效和有效地为糖尿病患者提供高度专业化的护理。糖尿病患者经常频繁地到社区和医院诊所就诊,看各种专科医生和医疗保健专业人员,而在更广泛的团队之间协调这一复杂的健康管理计划的机会似乎很少。在这个如此多样化和快速变化的领域,所有专业的医疗保健专业人员都需要了解糖尿病管理各个方面的发展。在本文中,我们讨论了糖尿病视网膜病变的流行病学和自然史,并描述了其评估和诊断方法。我们概述了糖尿病视网膜病变管理的原则,并概述了糖尿病视网膜病变的可能未来治疗方法。

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