Diabeettinen retinopatia

Perustiedot

Syyt

Diabeteksen aiheuttamat mikrovaskulaariset komplikaatiot.

Kliiniset ilmentymät

On näön hämärtymistä, näön heikkenemistä, sokeutta jne.

Tarkastus

Fundoscopyorcolorphotographicexaminationofthefunduscanconfirmthediagnosis.Butiftherearebleedingspotsinthefundus,itisrecommendedtodofundusfluoresceinangiography,sothatyoucanmoreclearlyunderstandthedegreeofdiabeticretinopathy.

Diabetic retinopathy

Hoito

Inrecentyears,rapidadvancesinmedicaltechnology,especiallytheemergenceofanti-angiogenesisdrugs,havegivenmoreoptionsforthetreatmentofdiabeticretinopathy,suchaslasercombinationIntravitrealinjectionofanti-angiogenicdrugswillhaveabettereffectonthecontrolofmacularedema;forexample,incaseswhereneovascularizationhasalreadyoccurred,intravitrealinjectionofanti-angiogenicdrugscanhelptheretreatofneovessels,especiallyinneovascularization.Whenlasertreatmentisnotpossibleontheopticnervehead;insomecaseswithadvanceddiabeticretinopathyandsurgery,youcanalsoinjectdrugsbeforesurgery,whichcanreduceintraoperativebleeding.

Therearetwosituationsthatneedlasertreatment,oneismacularedema.Manystudieshaveshownthatcarefulandweakscatteredlaserphotocoagulationinthemacularareacanreducebloodvesselleakage,therebyreducingedemaandimprovingvision.Second,whenitisfoundthattherearenewbloodvesselsintheretina,ortherearelargeretinalbloodvesselswithoutbloodsupply,atthistime,inordertoshrinkthenewbloodvesselsorpreventthegrowthofnewbloodvessels,so-calledpan-retinallaserphotocoagulationisperformed.

Itisimportanttoemphasizetheimportanceoflaserphotocoagulationinthetreatmentofdiabeticretinopathy.Thecorrectlaserphotocoagulationtreatmentistheprotectorofvisionforpatientswithdiabeticretinopathy!Moreover,thelaserdoesnotjusthititonceorseveraltimes.Forpatientswithdiabeticretinopathy,lasertreatmentmayberequiredatanytimeduringtheregularreviewprocess.Asforhowtoperformlasertreatmentandwhentoperformlasertreatment,followthedoctor’sadvice.Generallyspeaking,pan-retinallaserphotocoagulationwillbedonein3to4times.Itisnotrecommendedtodotoomuchatonetime,toomuchwillcauseaggravationofedema.

Manypatientsfailtoreceivelasertreatmentintime,leadingtovitreoushemorrhage,retinalneovascularization,organizingproliferativemembraneformation,andretinaldetachment,leadingtoblindness.Onthecontrary,iflasertreatmentistimelyandappropriate,thissituationcanbecompletelyavoided.

Ifthebloodsugarofthediabeticpatientisnotwellcontrolled,andthelasertreatmentisnotperformedintime,theretinopathydevelopstotheproliferativestage,thevitreoushemorrhagedoesnotabsorbformorethan1month,ortheretinahasaproliferativemembrane,andthereisretinaldetachment,whichwillaffectCentralvisionmustbetreatedsurgically.Thepurposeoftheoperationistoclearthebleeding,peelofftheproliferativemembrane,reattachtheretina,andfurtherstrengthenthelaserphotocoagulationtreatment.Twopointsmustbereminded:First,itiscurrentlyunanimouslyrecognizedthattheoperationshouldbeearlyandnotdelayed.Generally,thebleedingcannotbeabsorbedforaboutonemonth,andsurgeryandlasertreatmentshouldbeperformed.Don'twaituntiltheproliferativemembranehasmanynewbloodvesselsandtheretinaldetachmentissolargethattheproliferativemembranecannotberemovedduringtheoperation.Thesecondistorealizethatoncethediabeticretinopathyreachesalargenumberofproliferativemembranes,thecurativeeffectofsurgeryisgenerallyunsatisfactory.Don'texpecttoomuchinthisregard.Therefore,itisemphasizedagain:closereview,follow-up,andearlytreatment.

Diabeettisen kretinopatian sekaannus

Ifdiabeticpatientshavepoorbloodsugarcontrolanddonotreceivetimelyandcorrectlasertreatment,retinopathywillprogresstotheproliferativestage,andvitreoushemorrhagewillnotbeabsorbedformorethan1month.,Ortheretinahasaproliferativemembrane,andthereisretinaldetachment,whichaffectsthecentralvisionandmustbetreatedwithsurgery.Thepurposeoftheoperationistoclearthebleeding,peelofftheproliferativemembrane,reattachtheretina,andfurtherstrengthenthelaserphotocoagulationtreatment.Twopointsmustbereminded:First,itiscurrentlyuniversallyrecognizedthattheoperationshouldbedoneearly,...

ChiefphysicianChenYouxin,PekingUnionMedicalCollegeHospital,DepartmentofOphthalmologyfrom:EncyclopediaofFamousMedicalNetworks

Kuinka diabeettinen kretinopatia on asteittainen?

Diabeticretinopathycanbedividedinto6stages:stageImicrovasculartumorappearsinthefundus.Thiskindofmicrovasculartumorisnotarealtumor,butisformedbythewindingandflexingofthecapillariesofthefundus.Inthesecondstage,hardexudationappearedonthebasisofmicroangioma,whichisthefattyplaqueleftbehindafterretinaledema.StageIIIischaracterizedbytheappearanceofsoftexudates,whicharescarsleftbyspottinghemorrhagesonthefundus.StageIVisthebeginningofproliferativeretinopathy,whichischaracterizedbytheappearanceofneweyesatthefundus...

DepartmentofEndocrinology,PekingUnionMedicalCollegeHospital,ChiefPhysicianXiangHongdingFrom:EncyclopediaofFamousMedicalNetworks

Onko laserin käyttö tarpeellinen diabeettiseen kretinopatiaan?

Laserphotocoagulationisveryimportantinthetreatmentofdiabeticretinopathy.Ifthereisnolaserphotocoagulation,itisunknownhowmanypatientswillbeblind.Thecorrectlaserphotocoagulationtreatmentistheprotectorofvisionforpatientswithdiabeticretinopathy!Moreover,thelaserdoesnotjusthititonceorseveraltimes.Forpatientswithdiabeticretinopathy,lasertreatmentmayberequiredatanytimeduringtheregularreviewprocess.Asforhowtoperformlasertreatmentandwhentoperformlasertreatment,thisis...

DepartmentofOphthalmology,PekingUnionMedicalCollegeHospital,ChiefPhysicianChenYouxincomesfrom:BaikeFamousMedicalNetwork

Kuinka ehkäistä ja hoitaa diabeettista kretinopatiaa?

Ifthelensiscomparedtoalens,theretinaisthefilmbehindthelens.Ifthe"negativefilm"isbroken,thereiscurrentlynopossibilitytoreplaceit.Therefore,diabeticretinopathyseriouslythreatensthevisionofthepatientandcausesthepatientTheimportantcauseofblindnessmustbeactivelypreventedandeffectivelytreated.Unfortunately,atthestageofbackgrounddiabeticretinopathy,thepatientmaybeasymptomaticandhisvisionmaynotbeaffected.Atthistime,thepatientmaynotknowanythingabouthiseyedisease....

DepartmentofEndocrinology,PekingUnionMedicalCollegeHospital,ChiefPhysicianXiangHongdingFrom:EncyclopediaofFamousMedicalNetworks

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