摘要
糖尿病视网膜病变是我国正处于上升趋势的主要致盲性眼病。为了有效地控制其患病率的上升，近几年的防治策略主要强调对糖尿病视网膜病变的筛查和循证医学指导下的治疗。在社区和基层医院广泛开展早期糖尿病视网膜病变的筛查、定期随诊及治疗评估是降低糖尿病患者视觉残疾发生率的关键措施。新制定的糖尿病视网膜病变国际分类法有利于社区筛查工作者、内分泌科医师及眼科医师间在早期防治糖尿病视网膜病变方面的沟通和交流。目前，在糖尿病视网膜病变的光凝、手术治疗及全身系统治疗方面，已开展了多项临床多中心的随机对照研究，其结果对糖尿病视网膜病变的早期防治具有重要意义。相信坚持在循证医学指导下开展糖尿病视网膜病变的早期防治，一定会有效控制糖尿病引起的视觉残疾。 （中华眼科杂志．2008．44：6-8）
Diabetic retinopathy （DR） is one of the most important causes of bhndness in China as well as in the world. Recent years, the screening of DR and the therapy based on the evidence-based medicine are emphasized for effectively controlling the increase of the prevalence of DR. Extensive screening of DR in the community and secondary hospitals, periodic follow-up and evaluation of the patients are the key measures for reducing the rate of the visual impairment. The new international classification of DR is helpful for improving the communication among primary eye care workers, endocrine physicians, and ophthalmologists. The outcomes of several multi-center prospective randomized clinical trials on the photocoagulation, vitrectomy and systematic therapy for DR are useful for the early prevention and management of DR. If the therapy is based on the evidence-based medicine, the visual impairment caused by DR may be controlled effectively. （Chin J Ophthalmol , 2008 ,dd ：6-8）
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2008年第1期6-8,共3页
Chinese Journal of Ophthalmology
关键词
糖尿病视网膜病变
盲
普查
综合疗法
Diabetic retinopathy
Blindness
Mass screening
Combined modality therapy
