Malenfant M
Service d'Ophtalmologie, Centre Hospitalier de l'Université Laval, Sainte-Foy, QC, Canada.
Bull Soc Belge Ophtalmol. 1995;256:43-7.
In type I-Type II Adult diabetics, the eye-examination ideally should be done by ophthalmologists because experience and specialization of the examiners increase the ability to diagnose proliferative retinopathy. A dilated eye examination is essential and must include mid-periphery examination. In macular oedema, contact lens examination is required tot diagnose a clinically significant macular oedema. Angiography is useful as a guide for treating clinically significant macular oedema. Indications of laser treatment in preproliferative and proliferative retinopathy are revised.
对于I型至II型成年糖尿病患者,理想情况下应由眼科医生进行眼部检查,因为检查者的经验和专业知识可提高诊断增殖性视网膜病变的能力。散瞳眼部检查至关重要,且必须包括中周部检查。对于黄斑水肿,需要进行接触镜检查以诊断具有临床意义的黄斑水肿。血管造影有助于指导治疗具有临床意义的黄斑水肿。对增殖前期和增殖性视网膜病变的激光治疗指征进行了修订。