SERIOUS RETINOPATHY IN A DIABETIC CLINIC: PREVALENCE AND THERAPEUTIC IMPLICATIONS
SERIOUS RETINOPATHY IN A DIABETIC CLINIC: PREVALENCE AND THERAPEUTIC IMPLICATIONS
复制标题
糖尿病诊所中的严重视网膜病变：患病率和治疗意义
DOI：
10.1016/s0140-6736(81)90898-9
复制
发表时间：
1981
期刊：
影响因子：
--
通讯作者：
Wallace S. Foulds
中科院分区：
文献类型：
--
作者：
I. Scobie;A. Maccuish;T. Barrie;F. Green;Wallace S. Foulds
在大型糖尿病诊所连续检查的 1000 名患者中，95 名 (9·5%) 被归类为患有严重的糖尿病视网膜病变。该定义仅限于渗出性视网膜病变（黄斑水肿或硬渗出物侵入黄斑）、增殖性视网膜病变和视网膜缺血（如在不存在高血压的情况下存在软渗出物以及特征性血管变化所证明）。严重糖尿病视网膜病变的诊断总是需要进行专门的眼科评估（包括荧光素血管造影），并且通常需要紧急光凝治疗。调查和治疗耗时，此类患者构成了眼科服务的主要工作量：眼科会诊的平均时间为20分钟，加上荧光素血管造影，时间增加到40分钟。新生血管光凝治疗每只眼的平均时间为 2 小时，渗出性视网膜病变每只眼光凝治疗的平均时间为 30 分钟。
In a series of 1000 patients examined consecutively in a large diabetic clinic, 95 (9·5%) were classified as having serious diabetic retinopathy. The definition was confined to exudative retinopathy (macular oedema or hard exudates encroaching upon the macula), proliferative retinopathy, and retinal ischaemia (as evidenced by the presence of soft exudates in the absence of hypertension, together with characteristic vascular changes). The diagnosis of serious diabetic retinopathy is always accompanied by a need for specialised ophthalmological assessment (including fluorescein angiography) and, often, urgent photocoagulation. Investigation and treatment are time-consuming, and such patients therefore constitute a major workload for the ophthalmological services: the average time for an ophthalmic consultation was found to be 20 min, and when fluorescein angiography was added to this the time increased to 40 min. The average time spent on photocoagulation for neovascularisation was 2 h for each eye, and for exudative retinopathy 30 min for each eye.