首诊于眼科的2型糖尿病临床特点分析

Clinical Features of First Diagnosed Type 2 Diabetes in Ophthalmonogy

目的探讨以眼部症状为首诊的2型糖尿病患者的临床特点,为糖尿病的诊疗提供临床依据。方法对2007年1月至2011年12月因视物下降、复视、眼红、畏光、流泪等眼部症状就诊于金湖县人民医院的76例(123眼)患者行眼科相关检查,并行口服葡萄糖耐量试验。结果 76例患者均诊断为2型糖尿病。76例(123眼)中白内障30例(53眼),占43.1%;视网膜病变22例(35眼),占28.5%;视神经病变3例(4眼),占3.2%;葡萄膜炎3例(4眼),占3.2%;眼外肌麻痹4例(6眼),占4.9%;屈光不正6例(7眼),占5.7%;干眼症8例(14眼),占11.3%。结论糖尿病常因眼部并发症而首诊于眼科,为提高糖尿病的诊治率,眼科工作者应该给予足够的重视。

Objective To explore the characteristics of type 2 diabetes that were firstly diagnosed with symptoms of eyes in ophthalmonogy and provide the clinical reference of diagnosis of diabetes.Methods 76 patients（123 eyes） from Jinhu County People′s Hospital during Jan.2007 to Dec.2011 with visual decline,double vision,red eye,photophobia and lacrimation were given relevant ophthalmic tests and oral glucose tolerance test.Results All of 76 patients were diagnosed with type 2 diabetes.Among them,53 eyes of 30 patients（43.1%） were cataract,and with 35 eyes of 22 patients（28.5%） were retinopathy,respectively.The rate of optic neuropathy and uveitis were both 3.2%（3 patients,4 eyes）;6 eyes of 4 patients with（5.7%） were external ophthalmoplegia,7 eyes of 6 patients（5.7%） were ametropia,and 14 eyes of 8 patients（11.3%） were diagnosed with dry eyes,respectively.Conclusion Diabetes is often firstly diagnosed in ophthalmology due to ocular complications,therefore ophthalmology doctors should pay sufficient attention to such cases to increase the diagnosis and treatment rate.