摘要
目的:探讨直接检眼镜在社区糖尿病视网膜病变(diabetic retinopathy,DR)筛查中的临床价值。方法:将社区糖尿病患者265例快速散瞳后,使用直接检眼镜进行眼底检查,DR阳性者转诊上级医院进行荧光眼底血管造影(fluorescence fundus angiography,FFA)检查。结果:糖尿病患者265例中,DR患者79例,阳性率为29.8%,其中非增生型(non-proliferative diabetic retinopathy,NPDR)患者46例,增生型(proliferative diabetic retinopathy,PDR)患者33例,阳性率分别17.4%和12.5%。DR阳性患者转诊后均经FFA确诊,其中,3例NPDR确诊为PDR,22例DR患者接受了激光治疗。结论:使用直接检眼镜对社区糖尿病患者进行常规检查,可以提高DR早期发现率,在社区医生中普及检眼镜检查技术非常必要。
AIM：To observe the application of direct funduscopy in screening for diabetic retinopathy in communities.·METHODS：After mydriasis,265 patients with diabetes mellitus（DM） in communities were examined for fundus by direct funduscopy.The patients with diabetic retinopathy（DR） were further received fluorescence fundus angiography（FFA） after referral to superior hospitals.·RESULTS：Within the 265 patients with DM,79 patients were diagnosed as DR and the positive rate of DR was 29.8%.Among the patients with DR,there were 46 patients with non- proliferative diabetic retinopathy（NPDR） and33 patients with proliferative diabetic retinopathy（PDR）;the positive rate was respectively 17.4%and 12.5%.All patients with DR were further diagnosed by FFA after referral.Three patients with NPDR were diagnosed with PDR,and 22 patients received laser treatment.·CONCLUSION：Ordinary application of direct funduscopy in patients with DM in communities would early detect the DR.It is very necessary to master direct funduscopy for general practitioners.
出处
《国际眼科杂志》
CAS
2016年第3期559-561,共3页
International Eye Science
