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目的探讨糖尿病视网膜病变合并糖尿病性视乳头病变和缺血性视神经病变两类疾病的发病特点及其发生与DR分期的相关性。方法回顾性分析诊断为DR的1126例患者2034只眼的眼底彩照、FFA与视野等资料,筛选出糖尿病性视乳头病变11例15眼,糖尿病缺血性视神经病变24例27眼,分析两组患者的年龄、眼别、视力、糖尿病病程、主诉等临床资料,并分析两类疾病的发生与DR分期的相关性。结果(1)DR合并DP发病率为0.74%,合并ION的发病率为1.33%,两类疾病在视力下降程度、糖尿病病程等方面都有不同。(2)背景期DR合并DP和ION的发病率高于增殖期DR。结论DR合并视神经病变并不少见,对于DR患者不明原因的视力下降,应考虑合并视神经病变的发生,以免延误患者病情。
Objective To investigate the incidence of diabetic retinopathy and diabetic optic neuropathy and ischemic optic neuropathy two disease incidence and its relationship with the DR staging. Methods The fundus images, FFA and field of vision of 2034 eyes of 1126 patients diagnosed as DR were retrospectively analyzed. Eleven cases of diabetic optic nerve head lesions were observed in 15 eyes and 24 cases of diabetic ischemic optic neuropathy were observed in 27 eyes. Two groups were analyzed. The patient’s age, eyes, eyesight, duration of diabetes, chief complaint and other clinical data, and analysis of the incidence of two types of disease and the relationship between the DR staging. Results (1) The incidence of DR combined with DP was 0.74%, and the incidence of combined ION was 1.33%. There were differences between the two types of diseases in the degree of vision loss and the duration of diabetes. (2) The incidence of DR combined with DP and ION in background period was higher than that in proliferative phase. Conclusion DR combined with optic neuropathy is not uncommon, DR patients with unexplained vision loss, should consider the occurrence of optic neuropathy, so as not to delay the patient’s condition.