摘要
本文参考国际糖尿病视网膜病变(DR)严重程度分级、“DR早期治疗研究组”(ETDRS)的分级标准及我国DR的严重程度分级,将DR分为非增生性和增生性两型。根据视网膜出血斑多少(出血斑<10个、10~19个、≥20个)、丝棉斑、视网膜内微血管异常(IRMA)及静脉串珠在各象限的分布将非增生性DR分为轻、中、重度,并将纤维增生、牵拉性视网膜脱离、虹膜红变、新生血管性青光眼、缺血性视神经病变作为DR并发症。
A new grading of diabetic retinopathy (DR) standard was put forward based on methods of proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales, grading diabetic retinopathy by Early Treatment Diabetic Retinopathy Study Research Group (ETDRS), and diabetic retinopathy severity scales performed in China. Grading of DR includs nonproliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR). NPDR is classified into mild, moderate and severe scales according to the amount (number of hemorrhage spot is 10 or less, 10-19,20 or more) and distribution of retinal hemorrhage, cotton-wool spot, intraretinal microvascular abnormalities (IRMA) and vein bead. Proliferative vitreoretinopathy, traction retinal detachment, rubeosis iridis, neovascular glaucoma and ischemic optic nerve damage are classified as DR complications.
出处
《眼科》
CAS
2005年第4期218-220,共3页
Ophthalmology in China