眼底无可见视网膜病变糖尿病患者的荧光血管造影

Fundus fluorescein angiography of the diabetic patients without visible fundus change

目的探讨糖尿病患者检眼镜下未见到视网膜病变的荧光血管造影表现。方法对常规眼底检查未见到视网膜病变的糖尿病患者进行眼底荧光血管造影。结果荧光血管造影正常44只眼,与眼底所见符合率为35.48%;异常表现共80只眼占64.52%,其表现主要为微血管瘤,视网膜毛细血管扩张和毛细血管无灌注等。结论眼底镜下未发现视网膜病变的糖尿病患者,眼底荧光造影出现了微血管瘤,视网膜毛细血管扩张等改变。

Objective To investigate the fundus fluorescein angiography of the diabetic patients with no visible change under ophthalmoscpe. Methods Routine eye and fundus examination, fluorescein angiography for diabetic patients who had no visible retinopathy. Results Normal FFA was leveled in 44 eyes （35.48%） that was compatible with the ophalmoscopy. Varies finding on FFA were found in 80 eyes （64. 52%） in total. Conclutions The fundus fluorescein angiography is an objective valuable examination to check the retinal blood circulation and physiologic function for diabetic patients who had no visible retinopathy. The earliest retinophy such as micro aneurysms and/or the change of the retinal pigment epithelium could be detected.