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1型糖尿病对双眼视力的影响:比较分析的证据

María-Carmen Silva-Viguera¹, María Carmen Sánchez-González¹, Víctor Ponce-García¹

¹Vision Research Group (CIVIUS), Department of Physics of Condensed Matter, Optics Area, University of Seville, Seville, Spain.

Annals of the New York Academy of Sciences

|June 15, 2025

概括

患有1型糖尿病 (T1D) 的人通常会经历双眼视力障碍,包括接近点和点设施的问题. 早期光学评估对于在T1D患者中管理这些视力问题至关重要.

科学领域:

眼科医生眼科眼科
内分泌学在内分泌学.
神经科学是一个神经科学.

背景情况:

1型糖尿病 (T1D) 是一种影响多个器官的全身性疾病.
在T1D的眼部并发症记录得很好,但非视网膜病变的双眼视觉功能的理解较少.
在T1D中评估双眼视力可能会揭示影响视觉表现的亚临床缺陷.

研究的目的:

在没有视网膜病变的1型糖尿病 (T1D) 患者中调查双眼视觉功能.
为了比较T1D患者和健康对照组之间的双眼视力参数.
为了确定T1D中非斜视双眼视力障碍的患病率.

主要方法:

80名参与者 (40名T1D,40名对照) 没有系统性或眼部并发症的横截面研究.
标准化,可重复的测试评估了异构性,适应性收/适应 (AC/A) 比率,接近收点 (NPC),融合点,点设施和立体急性.
诊断的双眼视力功能障碍包括收不足,分歧不足,基本的外表/食欲,融合性合功能障碍,收过多和分歧过多.

主要成果:

与对照人群相比,T1D参与者表现出明显更远的NPC,较低的近正融合接,减少接设施,以及较低的AC/A比率.
较高比例的T1D患者呈现出超出正常范围的双眼视力参数.
诊断的双眼视力障碍的患病率在T1D组显著更高 (p = 0.048).

结论:

1型糖尿病与双眼视觉功能的显著损害有关,即使没有视网膜病变.
常见的双眼视力障碍在T1D患者中更为普遍.
建议在T1D患者中早期检测和管理双眼视力异常时进行常规光学评估.

关键词:

双眼镜视力双眼镜视力双眼镜视力双眼视力障碍双眼视力障碍双眼视力障碍糖尿病并发症糖尿病并发症在糖尿病中,糖尿病是血糖性糖尿病.眼动力障碍眼动力障碍眼动力障碍视力视力障碍视力障碍视力受损视力受损视力受损

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