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糖尿病视网膜病变的病理生理学和诊断:叙述性综述。

Pathophysiology and diagnosis of diabetic retinopathy: a narrative review.

机构信息

Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Bioscience Research Group, School of Health and Life Sciences, Aston University, Birmingham, UK.

出版信息

J Investig Med. 2023 Mar;71(3):265-278. doi: 10.1177/10815589221145040. Epub 2023 Jan 31.

Abstract

Diabetes is an endocrine disorder which is known by abnormal high blood glucose levels. There are two main categories of diabetes: type I (10%-15%) and type II (85%-90%). Although type II is more common, type I is the most common form in children. Diabetic retinopathy (DR), which remains the foremost cause of losing vision in working-age populations, can be considered as the main complication of diabetes mellitus. So choosing the best method for diagnosing, tracking, and treating the DR is vital to enhance the quality of life and decrease the medical expenses. Each method for diagnosing DR has some advantages and the best way must be selected according to the points that we need to find. For writing this manuscript, we made a list of relevant keywords including diabetes, DR, pathophysiology, ultrawide field imaging, fluorescein angiography, optical coherence tomography, and optical coherence tomography-angiography, and then we started searching for studies in PubMed, Scopus, and Web of Science databases. This review article covers the pathophysiology of DR and medical imaging techniques to monitor DR. First, we introduce DR and its pathophysiology and then we present the medical imaging techniques to monitor it.

摘要

糖尿病是一种内分泌紊乱疾病,其特征是血液中葡萄糖水平异常升高。糖尿病主要分为两类:1 型(10%-15%)和 2 型(85%-90%)。虽然 2 型更为常见,但 1 型在儿童中更为常见。糖尿病视网膜病变(DR)是导致工作年龄段人群视力丧失的主要原因,可被视为糖尿病的主要并发症。因此,选择最佳的诊断、跟踪和治疗 DR 的方法对于提高生活质量和降低医疗费用至关重要。每种诊断 DR 的方法都有一些优点,必须根据我们需要找到的要点选择最佳方法。为了撰写本文,我们列出了相关关键词,包括糖尿病、DR、病理生理学、超广角成像、荧光素血管造影、光相干断层扫描和光相干断层扫描血管造影,并开始在 PubMed、Scopus 和 Web of Science 数据库中搜索研究。这篇综述文章涵盖了 DR 的病理生理学和用于监测 DR 的医学成像技术。首先,我们介绍了 DR 及其病理生理学,然后介绍了用于监测它的医学成像技术。

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