视力威胁糖尿病视网膜病变在患有2型黄斑端膜切除症的患者中
Josef Huemer1,2, Tjebo Fc Heeren1,3, Abraham Olvera-Barrios1,3
1Moorfields Eye Hospital, NHS Foundation Trust, 62 City Rd., EC1V 2PD, London, UK.
International journal of retina and vitreous
|March 13, 2024
概括
患有黄斑长膜症 (MacTel) 和糖尿病的患者可能会患上危及视力的糖尿病视网膜病变 (STDR). 由于潜在的双重病理,建议多式成像用于诊断.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 医疗成像医学成像
背景情况:
- 斑点电脉切开症 (MacTel) 是一种视网膜血管疾病.
- 糖尿病是MacTel患者常见的并发症.
- 在MacTel中,进展为严重的糖尿病视网膜病变被认为是罕见的.
研究的目的:
- 报告视力危及的糖尿病视网膜病变 (STDR) 的多式成像特征,这些特征发生在2型 (MacTel) 斑点长眼病的眼睛中.
- 调查在患有麦克泰尔和糖尿病的患者中STDR的共存和表现.
主要方法:
- 追溯的案例系列.
- 包括八名患有MacTel和2型糖尿病的患者.
- 对STDR多式成像特征的分析,包括严重的非增殖性糖尿病视网膜病变 (NPDR) 和增殖性糖尿病视网膜病变 (PDR).
主要成果:
- 分析了八名患有MacTel和STDR的患者的16只眼睛.
- 62.5%的眼睛表现出多发性糖尿病视网膜病变 (PDR).
- 12.5%的眼睛呈现出黄斑外视网膜新血管化.
结论:
- 患有糖尿病和麦克泰尔的患者并没有完全受到STDR的保护.
- 建议定期监测糖尿病视网膜病变的进展,遵循国际指南.
- 在MacTel中诊断STDR时建议采用多式成像,因为标准成像对诊断有潜在的挑战.
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