荧光血管造影检测轻、中度非增殖性糖尿病视网膜病变

Application of Fluorescent Angiography in Patients with Mild to Moderate Non-proliferative Diabetic Retinopathy

目的:观察轻、中度非增殖性糖尿病视网膜病变(NPDR)患者眼底荧光血管造影的表现并分析其意义。方法:荧光血管造影检查123例(217眼)轻、中度非增殖性糖尿病视网膜病变患者,比较荧光血管造影和眼底镜检查结果。结果:眼底镜检查217只患眼其中轻度NPDR92患眼,中度NPDR125患眼。荧光血管造影检查显示需激光光凝治疗者,轻度NPDR患眼8例,占8.7%;中度NPDR患眼40例,占32.0%。结论:眼底荧光血管造影能较准确反映糖尿病患者眼底毛细血管改变,并能为糖尿病视网膜病变实施早期激光光凝治疗提供可靠的依据。

Objective：To evaluate the value of retcam-assisted intravenous fluorescein angiography in the early diagnosis of mild to moderate non-proliferative diabetic retinopathy（NPDR）.Methods： Fluorescein angiography was performed on 217 eyes of 123 patients with mild to moderate NPDR.The results were compared with the convenient ophthalmoscopic examinations.Results： Fluorescein angiography visualized the clearer retinal vasculature,compared to ophthalmoscopic examinations.It also easily detected fluorescence leakage and capillary non-perfusion,which was a sign of laser photocoagulation.The fluoresciein angiograph confirmed 8 eyes（8.7 %） of mild NPDR and 40 eyes（32 %） of moderate NPDR which were required laser photocoagulation.Conclusions： Fluorescein angiography is useful for early detection of NPDR,and valule for selectom of patients for laser photocoagulation.