Fischer F
Wien Klin Wochenschr. 1978 Jun 23;90(13):449-52.
95 diabetics with proliferative retinopathy were divided into two groups according to the type of diabetes, Group I consisting of 25 cases of growth-onset diabetes and Group II of 70 cases with maturity-onset diabetes. A distinct tendency was observed in Group II cases towards a shorter duration of diabetes prior to the manifestation of retinopathy, i.e. less than ten years. The pre-proliferative phase of the retinopathy is similar in duration and manifestation in both groups. There is no difference in the ophthalmoscopic findings or development of proliferative retinopathy either, except that its course is more aggressive in Group I, in contrast to the slower course with longer remissions seen in Group II cases. Thus, the basic characteristics of proliferative retinopathy appear to be independent of the form of diabetes, in keeping with the concept of diabetes mellitus as a single disease entity.
95例增殖性视网膜病变的糖尿病患者根据糖尿病类型分为两组,第一组为25例幼年起病型糖尿病患者,第二组为70例成年起病型糖尿病患者。在第二组病例中观察到一个明显的趋势,即视网膜病变出现前糖尿病病程较短,即少于10年。两组视网膜病变的增殖前期在病程和表现上相似。眼底检查结果或增殖性视网膜病变的发展也没有差异,只是与第二组病例中病程较慢且缓解期较长不同,第一组的病程更具侵袭性。因此,增殖性视网膜病变的基本特征似乎与糖尿病类型无关,这与将糖尿病视为单一疾病实体的概念相符。