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临床检查可以精确定位糖尿病视网膜病变的毛细血管无灌注区

Clinical examination accurately locates capillary nonperfusion in diabetic retinopathy
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摘要 PURPOSE: To help the ophthalmologist who wishes to know the perfusion status o f the retina outside the macula, we determined whether clinical examination can predict capillary nonperfusion in diabetic retinopathy (DR) as accurately as flu orescein angiography (FA). DESIGN: Prospective observational case series. METHOD S: setting: Clinical practice. study population: Both eyes of 20 patients with c linically significant diabetic macular edema (CSME). observation procedure: The location of capillary nonperfusion was recorded following 90-diopter lens slit -lamp biomicroscopy, and the same measurements made on FA. main outcome measure : In the nasal and temporal quadrants of each eye, the clinical results were com pared with the “gold standard”FA. RESULTS: Most patients (84%) had definite p eripheral capillary nonperfusion. Biomicroscopy results were highly correlated w ith angiography, with only a few differences of clinical importance. CONCLUSIONS : Clinical examination can determine the location of capillary nonperfusion in D R with a high degree of accuracy. PURPOSE: To help the ophthalmologist who wishes to know the perfusion status o f the retina outside the macula, we determined whether clinical examination can predict capillary nonperfusion in diabetic retinopathy (DR) as accurately as flu orescein angiography (FA). DESIGN: Prospective observational case series. METHOD S: setting: Clinical practice. study population: Both eyes of 20 patients with c linically significant diabetic macular edema (CSME). observation procedure: The location of capillary nonperfusion was recorded following 90-diopter lens slit -lamp biomicroscopy, and the same measurements made on FA. main outcome measure : In the nasal and temporal quadrants of each eye, the clinical results were com pared with the “gold standard”FA. RESULTS: Most patients (84%) had definite p eripheral capillary nonperfusion. Biomicroscopy results were highly correlated w ith angiography, with only a few differences of clinical importance. CONCLUSIONS : Clinical examination can determine the location of capillary nonperfusion in D R with a high degree of accuracy.
出处 《世界核心医学期刊文摘(眼科学分册)》 2005年第8期32-33,共2页 Digest of the World Core Medical Journals:Ophthalmology
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