在糖尿病视网膜病变中视力障碍和失明
Janitha Plackal Ayyappan1, Zoelfigar Dafalla Mohamed1, Gopi Suresh Vankudre1
1Department of Optometry, College of Health Sciences, University of Buraimi, Al Buraimi, Sultanate of Oman.
Medical hypothesis, discovery & innovation ophthalmology journal
|August 11, 2025
概括
糖尿病视网膜病变 (DR) 在阿曼导致视力损伤 (VI),严重程度与年龄和DR持续时间有关. 早期查和管理对于预防糖尿病患者失明至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病视网膜病变 (DR) 是全球可预防的视力障碍 (VI) 和失明的主要原因.
- 糖尿病 (DM) 患病率正在上升,特别是在中东,突显了需要当地DR数据的需求.
- 在阿曼,关于与DR相关的VI的研究有限,需要进行本地研究.
研究的目的:
- 评估在阿曼患有DM的患者中由于DR引起的VI的患病率和严重程度.
- 在阿曼阿尔布拉伊米 (Al Buraimi) 确定与DR相关的VI的关键风险因素.
- 为该地区DR管理的公共卫生战略提供信息.
主要方法:
- 在阿曼布拉伊米医院和综合诊所对218名I型或II型DM和DR患者进行了回顾性横截面研究.
- 对医疗记录的审查和用于DR分期的 fundus 检查.
- 使用斯内伦图表和世卫组织VI标准评估最佳纠正距离视力敏度.
主要成果:
- 大多数参与者 (60.1%) 没有VI;轻度VI是最常见的 (26.6%).
- DR严重程度与VI水平有显著的相关性 (P < 0.01).
- 年龄和DR持续时间是增加VI严重性的显著风险因素 (P<0.05).
- 失明只发生在严重的非增殖和增殖DR阶段.
结论:
- 在DR患者中,VI的发生频率相当大,严重程度与年龄和DR持续时间有关.
- 早期的DR查和干预对于预防严重的VI和失明至关重要.
- 需要基于社区的研究来指导国家眼睛健康政策并改善患者的治疗结果.
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