摘要
目的 按荧光素眼底血管造影 (fundus fluorescein angiography,FFA)探讨糖尿病视网膜病变 (diabetic retinopathy,DR)分期和黄斑水肿分型。 方法 对 10 5 8例糖尿病患者的 2 0 97只患眼进行FFA检查 ,以 FFA检查结果对 DR进行分期 ,对黄斑水肿进行分型。分析患者糖尿病病程、视力与 DR分期以及黄斑水肿分型的相互关系。并与检眼镜检查的 DR分期标准进行比较 ,提出 FFA检查的 DR分期和黄斑水肿分型特征。 结果 2 0 97只眼中 ,无 DR者 12 4只眼 ,占 5 .9% ;DR 期 82 6只眼 ,占 39.4 % ; 期5 6 3只眼 ,占 2 6 .8% ; 期 2 6 2只眼 ,占 12 .5 % ; 期 2 5 4只眼 ,占 12 .1% ; 期 6 0只眼 ,占 2 .9% ; 期 8只眼 ,占 0 .4 %。 819只眼发生黄斑水肿 ,占 39.1% ,其中局限性水肿 311只眼 ,占 38.0 % ;弥漫性水肿 32 2只眼 ,占 39.3% ;囊样水肿 112只眼 ,占 13.7% ;缺血性水肿 2 5只眼 ,占 3.1% ;增生性水肿 4 9只眼 ,占6 .0 %。 结论 根据 FFA检查结果将 DR分为 6期 : 期为检眼镜检查分期标准中的 1、2期合并 ; 期为检眼镜检查分期标准中的 3期 ; 期为增生前期糖尿病视网膜病变 (preproliferative diabetic retinopa-thy,PPDR) ; 期为视盘和 (或 )视网膜有新生血管 ; 期为机化增生膜形成。 期为牵拉性视网?
Objective To probe the classification of diabetic retinopathy (DR) and the different grade of diabetic and type of macular edema according to fundus fluorescein angiography (FFA). Methods FFA was performed on 1 058 patients (2 097 eyes) to classify DR and macular edema with the analysis of duration of DM, visual acuity, manifestation of FFA images and results of ophthalmoscopic examination. Results In 2 097 eyes, there were 124 (5. 9%) without DR, 396 (18. 9%) with DR I, 430 (20. 5%) with DR II, 563 (26.8%) with DR III, 262 (12. 5%) with preproliferative diabetic retinopathy ( PPDR), 254 (12.%) with DR IV, 60 (2. 9%) with DR V, and 8 (0. 4%) with DR VI. In 2 097 eyes there were 819 (39. 1%) with macular edema, including 311 (38%) with focal macular edema, 322 (39. 3%) with diffused macular edema, 112 (13. 7%) with cystoid macular edema, 25 (3. 1%) with ischemia macular edema, and 49 (6. 0%) with proliferative macular edema. Conclusion With the analysis of the results of FFA of 2 097 eyes, we classify DR in stage Ⅰ (primary stage Ⅰ and Ⅱ), Ⅱ (primary stage Ⅲ), Ⅲ (preproliferative diabetic retinopathy), Ⅳ,Ⅴ, and Ⅵ; classify macular edema of DR in focal, diffused, cystoid, ischemic, and proliferating ones.
出处
《中华眼底病杂志》
CAS
CSCD
2003年第6期333-337,共5页
Chinese Journal of Ocular Fundus Diseases
关键词
荧光素眼底血管造影
FFA
糖尿病视网膜病变
诊断
黄斑水肿
Diabetic retinopathy/Diagnosis
Fundus fluorescein angiography
Macular edema, cystoid/diagnosis
Reference values
