糖尿病患者在眼科的临床表现

Clinical manifestations of diabetic patients in department of ophthalmology

目的分析确诊为糖尿病的患者于眼科就诊后的临床表现情况。方法对52例(81眼)临床上出现的眼红、胀痛、视力下降、畏光流泪以及复视等眼部症状患者给予眼科检查,进行裂隙灯显微镜及眼底荧光血管造影检查,对眼前、后节,血糖和尿糖进行检查。结果 52例患者糖尿病类型均为2型,81只眼中有50只眼有不同程度和形态的晶状体混浊,占61.73%;14只眼被诊为葡萄膜炎,占17.28%;5只眼诊断为眼外肌麻痹,占6.17%;4只眼被诊为视网膜病变,占4.94%;视神经病变3只眼,占3.71%;屈光异常5只眼,占6.17%。结论糖尿病病程较长的患者,大部分合并程度不等的眼部病变,是致失明的主要原因,糖尿病性眼部并发症临床表现多样,在临床工作中应引起足够重视。

Objective To explore the clinical manifestations of diabetic patients in department of ophthalmology. Methods 52 cases （81 eyes） with the clinical emergence of envy,pain,photophobia,decreased visual acuity and diplopia,eye symptoms were treated by ophthalmologic examination,with slit lamp microscope and fluorescence fundus angiography,inspected he anterior,posterior segment of eye examination,blood and urine sugar. Results The diabetes type of 52 patients was type2,in 80 eyes,50 eyes had different degree and morphology of lens opacity,accounted for 61.73%;14 eyes were diagnosed as uveitis,accounted for 17.28%;5 eyes were diagnosed as extraocular muscle paralysis,accounted for 6.17%;4 eyes were diagnosed with retinopathy,accounted for 4.94%;3 eyes were diagnosed with optic neuropathy,accounted for 3.71%;5 eyes were diagnosed as abnormal refraction,accounted for 6.17%. Conclusion The patients with longer duration of diabetes,most of the merger varying degrees of ocular lesions,cause of blindness,diabetic eye complications diverse clinical manifestations,attention should be paid in clinical work.