ABC of diabetes - Retinopathy

ABC of diabetes - Retinopathy
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DOI:
10.1136/bmj.326.7395.924
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发表时间:
2003-04-26
影响因子:
--
通讯作者:
Watkins, PJ
Watkins, PJ
中科院分区:
医学1区
文献类型:
--
作者:
Watkins, PJ

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失明是糖尿病最可怕的并发症之一,也是最可预防的并发症之一。糖尿病是 30 至 69 岁人群失明的最常见原因。糖尿病发病20年后,几乎所有1型糖尿病患者和超过60%的2型糖尿病患者都会出现一定程度的视网膜病变。即使在诊断 2 型糖尿病时,也约有四分之一的患者已确定有视网膜病变背景。现在,在大多数情况下,治疗可以预防失明,因此有必要在视力受到影响之前识别出患有视网膜病变的患者。
Blindness is one of the most feared complications of diabetes but also one of the most preventable. Diabetes is the commonest cause of blindness in people aged 30 to 69 years. Twenty years after the onset of diabetes, almost all patients with type 1 diabetes and over 60% of patients with type 2 diabetes will have some degree of retinopathy. Even at the time of diagnosis of type 2 diabetes, about a quarter of patients have established background retinopathy. Treatment can now prevent blindness in the majority of cases, so it is essential to identify patients with retinopathy before their vision is affected.