黑暗对糖尿病患者内视网膜缺氧的影响
1Department of Optometry and Vision Sciences, Cardiff University, Redwood Building, King Edward VII Avenue, Cathays Park, Cardiff CF10 3NB, UK. neville@drasdo.co.uk
Lancet (London, England)
|July 10, 2002
概括
夜间照明可能有利于糖尿病视网膜病变患者. 氧气改善了糖尿病患者在黑暗适应后的视网膜功能,这表明减少夜间缺氧可能有助于保持视力.
科学领域:
- 眼科医生 眼科 眼科
- 糖尿病学 糖尿病学
- 视网膜生理学 视网膜生理学
背景情况:
- 糖尿病视网膜病变 (DR) 可能是由夜间缺氧引起的.
- 在糖尿病患者中,通过振荡潜力 (OPs) 测量的内视网膜功能减少.
- 黑暗适应加剧了糖尿病患者的OP减少.
研究的目的:
- 研究2型糖尿病患者在黑暗适应后氧气吸入对OP幅度的影响.
- 探索夜间缺氧在糖尿病视网膜病变的发病过程中的作用.
- 评估夜间照明对糖尿病眼病的潜在治疗益处.
主要方法:
- 七名2型糖尿病患者和八名健康对照者接受了黑暗适应.
- 在氧气吸入之前和期间测量了振荡电位 (OP) 幅度.
- 在不同氧气条件下,糖尿病患者和对照组之间的OP幅度的比较.
主要成果:
- 黑暗适应减少了糖尿病患者的OP幅度.
- 氧气吸入增加了糖尿病患者的OP幅度,达到与没有氧气的对照组相当的水平.
- 氧气吸入并没有显著影响对照对象的OP幅度.
结论:
- 夜间缺氧可能导致糖尿病视网膜病变中视网膜功能减弱.
- 补充氧气可以改善糖尿病患者在黑暗适应后的视网膜内功能.
- 在夜间照明下睡觉可能是治疗糖尿病视网膜病变的有益策略.
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