糖尿病性视网膜病变患者前部缺血性视神经病变临床分析

Analysis of anterior ischemic optic neuro-pathy in patients with diabetic retinopathy

目的:了解糖尿病性视网膜病变(diabetic retinopathy,DR)患者群体中,前部缺血性视神经病变(anterior ischemicop-tic neuropathy,AION)的发病情况,进一步探讨AION与糖尿病及DR的可能关系,指导临床诊治。方法:选择需行全视网膜激光光凝治疗的DR患者515例,根据是否同时伴有AION分为AION组(DR合并AION组)和对照组(单纯DR组),行眼部及全身检查,对比分析两组间可能存在的差异。结果:两组患者的性别比例、年龄构成、DR分期无差异,视盘形态、屈光状态、眼内压无差异,血糖、血脂、血压水平无差异。结论:糖尿病可作为AION的独立危险因素,而高血压不是。

AIM： To study the incidence of anterior ischemic optic neuropathy （AION） in the patients with diabetic retino-pathy （DR）, and the possible relationship between AION and DR. METHODS： There were 515 patients with DR who needed panretinal photocoagulation （PRP）. They were divided into two groups as AION group and control group depending whether patients were complicated with AION or not. All patients had ophthalmological and physical examinations in order to find out the difference between two groups. RESULTS： There were no significant differences between two groups when compared in gender proportion, age constitution, staging of DR, morphology of optic disk, refractive status, intraocular pressure, the level of blood glucose, blood lipid and blood pressure. CONCLUSION. Diabetes mellitus could be considered as the independent risk factor of AION, but not high blood pressure.