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目的总结分析2型糖尿病眼部并发症的患病情况。方法详细询问病史;常规眼部检查,包括裸眼视力、矫正视力、裂隙灯检查、散瞳眼底检查;其他辅助检查,包括眼B超、眼电生理、视野检查;全身检查,包括血糖、血脂、血压等。结果61例2型糖尿病患者中,7例患者因眼部并发症而首诊眼科,其余54例为内科确诊的2型糖尿病患者。该54例患者中,有眼部并发症者33例,占61%。其中糖尿病视网膜病变21例(39眼),占64%;年龄相关性白内障6例(10眼),占18%;真性糖尿病性白内障3例(4眼)占9%;视神经病变6例(9眼),占18%。结论2型糖尿病眼部并发症患病率高,提示我们要加强糖尿病及其并发症的防治。
Objective To summarize and analyze the prevalence of ocular complications in type 2 diabetic patients. Methods For details on medical history; routine eye examinations, including uncorrected visual acuity, corrected visual acuity, slit lamp examination, mydriatic fundus examination; other auxiliary examinations, including ocular ultrasound, electrophysiology, visual field examination; Blood pressure and so on. Results Of the 61 patients with type 2 diabetes, 7 received ophthalmology due to ocular complications and the remaining 54 were type 2 diabetes diagnosed medically. The 54 patients, there are 33 cases of ocular complications, accounting for 61%. Among them, 21 cases (39 eyes) had diabetic retinopathy, accounting for 64%; 6 cases (10 eyes) of age-related cataract, accounting for 18%; 3 cases of true diabetic cataract (9 eyes) Eye), accounting for 18%. Conclusion The prevalence of ocular complications in type 2 diabetes mellitus is high, suggesting that we should strengthen the prevention and treatment of diabetes mellitus and its complications.