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糖尿病视网膜病变的分级标准初探 被引量:15

The review and consideration on grading in diabetic retinopathy
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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.
作者 王光璐
出处 《眼科》 CAS 2005年第4期218-220,共3页 Ophthalmology in China
关键词 糖尿病视网膜病变/诊断 糖尿病/并发症 diabetic retinopathy/diagnosis diabetes/complications
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参考文献4

  • 1Wilkinson CP,Ferris FL 3rd,Klein RE,et al. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales [J ]. Ophthalmology, 2003,110:1677-1682. 被引量:1
  • 2Early Treatment Diabetic Retinopathy Study Research Group. Grading diabetic retinopathy from stereoscopic color fundus photographsan extension of the modified Airlie House classification. ETDRS report number 10[J]. Ophthalmology, 1991,98(5 Suppl) :S786-806. 被引量:1
  • 3中华医学会眼科学会眼底病学组.糖尿病视网膜病变分期标准[J].眼底病,1985,1:42-42. 被引量:187
  • 4Gass JDM. Diabetic retinopathy. Macular diseases, diagnosis and treatment[M]. 3rd ed. St. Louis: CV Mosby Company, 1987,398-403. 被引量:1

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