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糖尿病视网膜病变新生血管和视力预后

NEOVASCULARIZATION AND VISUAL PROGNOSIS IN DIABETIC RELINOPA-THY

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【作者】 张惠蓉刘宁朴夏英杰田力

【Author】 Zhang Huirong;Liu Ningpu;Xia Yingjie;et al.(Dept of Ophthalmology,third Hospital ,Beijing Medical University,Beijing,100083)

【机构】 北京医科大学第三医院眼科

【摘要】 观察糖尿病患者252例501只眼的眼底荧光血管造影,分析新生血管发生情况和视力预后。其中背景型302只限,增殖型162只眼,未发现病变者37只眼。增殖型患者病程5年以下者占6.1%,5~10年者占31.0%,10年以上者增至54.6%。新生血管位于视网膜者136只眼,合并视盘新生血管者49只眼。玻璃体出血51只眼,占增殖型眼的31.5%。本组患者视网膜新生血管共515簇,多分布在距视盘3~6DD的范围。有新生血管眼视力0.5以上者仅占29.0%,而无新生血管者占62.9%(P<0.005)。

【Abstract】 The retinal neovascularization(NVR)and visual prognosis were analyzed in 501 eyes of 25 2 cases with diabetic retinopathy(DR)using fluorescein angiography。 The types of these cases were 302 eyes with background DR,162 eyes with proliferative DR(PDR),and 37 eyes without any change.The incidence of PDR was 6.1%when duration of diabetes was under 5 years,and increased to 31.0%in patients from 5-10 years,and 54.6%in thoseL with 10 or more years of diabetes。 Retinal neo-vasculariyation was found in this group in 136 eyes and among them disc neovascularization still found in 49 eyes. The incidence of vitreous hemorrhage was 31.5%(51/162).515 clusters of newly formed vessels(NV)were identified in this series,and they were found locating in the midperipheral retinal at a distance of 3~6DD away from the disc. The visual acuity was 0.5 or more in only 29.0%eyes with NV,while in 62.9%eyes without NV.

【基金】 国家教委博士点科研基金
  • 【文献出处】 中华眼底病杂志 ,CHINESE JOURNAL OF OCULAR FUNDUS DISEASES , 编辑部邮箱 ,1995年02期
  • 【分类号】R771.3
  • 【被引频次】18
  • 【下载频次】130
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