Constantinides G, Fourdrignier A
Service d'Ophtalmologie, Centre Régional Universitaire de Lille.
J Fr Ophtalmol. 1996;19(4):248-52.
The aim of this study is to ascertain the reasons of the late diagnosis of severe diabetic retinopathies.
We analysed 30 diabetic patients seen at the initial examination with severe diabetic retinopathies, including risk factors of diabetes, quality of maintenance of a metabolic balance in blood sugar levels and examination of the fundus.
Sixteen diabetic patients (53%) had no examination of the fundus from the onset of diabetes; 100% were over-weighted of more than 15%; 100% had no strict metabolic control of blood sugar levels; 90% had high blood pressure; 60% had familial diabetes.
The prevention of late diagnosis of severe diabetic retinopathies must be based on the prevention of diabetes: examination and treatment of patients with high risk factors of diabetes. The prevention of diabetic retinopathy relies on the maintenance of a strict metabolic balance in blood sugar levels and required examination of the fundus every year.
本研究旨在确定重度糖尿病视网膜病变诊断延迟的原因。
我们分析了30例初诊时患有重度糖尿病视网膜病变的糖尿病患者，包括糖尿病的危险因素、血糖水平代谢平衡的维持情况以及眼底检查。
16例（53%）糖尿病患者自糖尿病发病起未进行过眼底检查；100%体重超重超过15%；100%血糖水平未得到严格的代谢控制；90%患有高血压；60%有家族性糖尿病。
预防重度糖尿病视网膜病变的延迟诊断必须基于糖尿病的预防：对糖尿病高危因素患者进行检查和治疗。糖尿病视网膜病变的预防依赖于严格维持血糖水平的代谢平衡以及每年进行必要的眼底检查。
