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目的研究免散瞳眼底照相对糖尿病视网膜病变(DR)诊断筛查的意义及其可行性。方法对2013年6月—2015年3月就诊于南京大学医院眼科的经确诊的2型糖尿病患者314例(628只眼)进行免散瞳眼底照相检查,根据病变情况进行DR分期,按照病程进行分类统计患病率。对糖网Ⅲ期及以上的患者行眼底荧光血管造影(FFA)检查,对2种方法的检查结果进行比较。结果 314例(628只)糖尿病患者中48.85%存在不同程度的视网膜病变,其中糖网Ⅲ期及以上62眼,行FFA检查后,结果与免散瞳眼底照相高度一致。结论免散瞳眼底照相可作为DR诊断筛查的可靠方法,简单易行,检查结果与FFA一致性高,为DR的早期诊断和有效治疗提供了客观有效的评价标准。
Objective To study the significance and feasibility of non-mydriatic fundus photography in the diagnosis and screening of diabetic retinopathy (DR). Methods A total of 314 patients (628 eyes) with confirmed type 2 diabetes from Nanjing University Hospital from June 2013 to March 2015 were examined with funduscopic fundus examination. The patients were divided into DR group according to the course of the disease Classification statistics prevalence. Fundus fluorescein angiography (FFA) was performed on patients with stage III or more in the glycogen assay and the results of the two methods were compared. Results Of the 314 patients (628), 48.85% of diabetic patients had varying degrees of retinopathy. Among them, the third and the third degree of glycogen in 62 cases of diabetic nephropathy were consistent with those of non-mydriatic fundus examination after FFA examination. Conclusion Non-mydriatic fundus photography can be used as a reliable method for DR diagnosis and screening. It is simple and easy to be performed and has high consistency with FFA. It provides objective and effective evaluation criteria for the early diagnosis and effective treatment of DR.