Dexel T, Böhme H, Schmidt P, Haslbeck M, Mehnert H
Bibl Anat. 1977(16 Pt 2):442-4.
We were unable to trace an unmistakable correlation between changes on the fundus of the eye and changes on the conjunctiva neither by taking the sum of single findings at the bulbar conjunctiva nor by using a respective index. I.e. the findings of the bulbar conjunctiva are not correlative neither to the stages of diabetic retinopathy nor the duration of diabetes. Clinical experiences make us suppose that the vessels of the fundus of the eye are closely connected to the circulation of the cerebral flow whereas the changes of the conjunctival vascular bed may possibly correlate in a better way with the peripheral vessels. The present results show that the majority of the patients with a high index at the bulbar conjunctiva suffer from peripheral occlusive disease.
无论是通过将球结膜单个检查结果相加,还是使用相应指数,我们都无法找到眼底变化与结膜变化之间明确无误的相关性。也就是说,球结膜的检查结果与糖尿病视网膜病变的阶段以及糖尿病病程均无关联。临床经验使我们推测,眼底血管与脑血流循环紧密相连,而结膜血管床的变化可能与外周血管有更好的相关性。目前的结果表明,球结膜指数较高的大多数患者患有外周血管闭塞性疾病。