摘要
目的探讨糖尿病性视神经病变的临床特点及FFA对其的诊断价值,指导临床分型及治疗。方法分析在我院行FFA检查,经内科明确诊断为糖尿病的587例患者(1074眼)的临床资料和FFA结果,筛选出视盘有异常表现(包括水肿、异常高荧光、充盈缺损、染色、新生血管)的患者,统计分析患者的临床资料,并根据文献提出的诊断标准,将糖尿病性视神经病变进行分型,包括糖尿病视乳头病变(DP)、缺血性视神经病变(ION)、视盘新生血管(NVD)、视神经萎缩,探讨各型的发病特点。结果(1)视盘有异常表现者157眼(14.6%),其中DP25眼,ION32眼,NVD85眼,视神经萎缩15眼,各型疾病在视力下降程度、患者年龄、糖尿病病程等方面都有不同。(2)增殖期DR344眼发生NVD71眼,比率为20.6%,但背景期DR合并DP和ION的发病率高于增殖期DR。结论糖尿病性视神经病变并不少见,FFA检查可以发现一些早期病变,在诊断中必不可少,具有重要的意义。
Objective To investigate the clinical features and characteristics of FFA of diabetic optic neuropathy, and investigated the relationship between diabetic retiopathy and diabetic optic neuropathy.Methods The study analyzed the medical records and FFA results of 587 patients（1074 eyes） who were performed with FFA and diagnosed as diabetes. Diabetic papillopathy,iscbemic optic neuropathy.neovessels on the disc and optic atrophy were diagnosed among these patients according to accepted criteria. Documented the related clinical data of these patients and studyed the relationship between diabetic optic neuropathy and diabetic retinopathy stages. Results （ 1 ）The occurrence rate of diabetic optic neuropathy is 14.6 %. （2）The occurrence rate of nonproliferative DR combined DP and ION was significantly higher than proliferative DR. Conclusion Diabetic optic neuropathy has high incidence. FFA plays an important role in early diagnosis of diabetic optic neuropathy.
出处
《中国实验诊断学》
2007年第2期217-219,共3页
Chinese Journal of Laboratory Diagnosis
