Visual impairment in diabetes.
Visual impairment in diabetes.
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DOI：
10.1016/s0161-6420(84)34337-8
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发表时间：
1984
期刊：
影响因子：
13.7
通讯作者：
R. Klein;B. Klein;S. Moss
中科院分区：
文献类型：
--
作者：
R. Klein;B. Klein;S. Moss
在威斯康星州南部的一项基于人群的糖尿病视网膜病变研究中测量了视力。检查了30岁之前诊断并服用胰岛素的患者（年轻发病，n = 996）和30岁或以上诊断的患者（老年发病，n = 1370）。采用糖尿病视网膜病变早期治疗研究方案确定最佳矫正视力。在年轻发病组中，1.4%有中度视力损害（较好眼的最佳矫正视力为20/80至20/160），3.6%为法定盲（较好眼的视力为20/200或更差）。该组的视力损害与检查时年龄较大、糖尿病持续时间较长、增殖性视网膜病变和老年性白内障有关。在老年发病组中，3.0%有中度视力障碍，1.6%为法定盲。该组的视力损害与检查时年龄较大、糖尿病持续时间较长、老年性白内障、黄斑水肿和增殖性糖尿病视网膜病变有关。当分配视力受损的原因时，糖尿病视网膜病变部分负责86%的眼睛视力为20/200或更差的年轻发病者和33%的老年发病者。
Visual acuity was measured in a population-based study of diabetic retinopathy in southern Wisconsin. Persons diagnosed prior to 30 years of age and taking insulin (younger onset, n = 996) and those diagnosed at 30 years of age or older (older onset, n = 1370) were examined. Best corrected visual acuity was determined using the Early Treatment of Diabetic Retinopathy Study protocol. In the younger onset group, 1.4% had moderate visual impairment (best corrected visual acuity in the better eye of 20/80 to 20/160) and 3.6% were legally blind (visual acuity in the better eye of 20/200 or worse). Visual impairment in this group was associated with older age at examination, longer duration of diabetes, presence of proliferative retinopathy, and presence of senile cataracts. In the older onset group, 3.0% had moderate visual impairment and 1.6% were legally blind. Visual impairment in this group was associated with older age at examination, longer duration of diabetes, presence of senile cataract, presence of macular edema, and proliferative diabetic retinopathy. When assigning causes of impaired vision, diabetic retinopathy was responsible in part for 86% of eyes with visual acuity of 20/200 or worse in younger onset persons and for 33% in older onset persons.