Adopting 3-year screening intervals for sight-threatening retinal vascular lesions in type 2 diabetic subjects without retinopathy.
Adopting 3-year screening intervals for sight-threatening retinal vascular lesions in type 2 diabetic subjects without retinopathy.
复制标题
对无视网膜病变的 2 型糖尿病受试者采用每 3 年一次的筛查间隔,对威胁视力的视网膜血管病变进行筛查。
DOI:
10.2337/dc10-2308
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发表时间:
2011-06
期刊:
影响因子:
16.2
通讯作者:
Tababat-Khani P
中科院分区:
文献类型:
--
作者:
Agardh E;Tababat-Khani P
To report the incidence of sight-threatening vascular lesions in type 2 diabetic subjects without retinopathy after adopting a 3-year interval screening program. In all, 1,691 type 2 diabetic subjects with no detectable retinopathy in two 50° red-free fundus photographs were scheduled for follow-up with photography 3 years later. Age at diabetes diagnosis was 60 ± 12 years, and known duration of diabetes was 6 ± 6 years. Treatment consisted of diet only (26%), oral agents (54%), and oral agents and/or insulin (20%). Glycated hemoglobin A1c was 6.4 ± 1.5%. Of the 1,322 subjects available for follow-up, 73% were still without retinopathy after 3 years, and 28% had developed mild or moderate retinopathy, but none developed severe nonproliferative or proliferative retinopathy. Macular edema requiring laser coagulation occurred in only one eye. Three-year retinal screening intervals can be recommended in subjects with mild type 2 diabetes and no retinopathy.