摘要
目的分析首诊于眼科后确诊为糖尿病的患者眼部情况。方法对92例(130眼)以视力下降、眼红、眼胀、畏光流泪及复视等症状就诊的疑为2型糖尿病患者,给予眼前后节检查、空腹血糖及餐后2h血糖测定,部分患者行同视机、眼A/B超、荧光素眼底血管造影检查。结果所有患眼中白内障52眼,结膜炎10眼,葡萄膜炎6眼,眼外肌麻痹15眼,视网膜病变22眼,屈光异常25眼。92例患者均确诊为2型糖尿病。结论因眼部并发症而首诊于眼科的糖尿病患者缺乏糖尿病典型症状,临床应加以重视,以免延误治疗。
Objective To analysis the pathological changes and manifestations in the eyes of patients with diabetes mellitus（DM）.Methods Ninety-two cases （130 eyes） with visual deterioration,expand and hyperaemia of eyes,photophobia,lacrimation,or diplopia were studied,and they may be type 2 DM.The routine ophthalmological examinations,blood sugar and 2 hours PBG were performed.Synoptophore,ocular ultralonography and FFA were performed in some of them.Results Among them,52 eyes were diagnosed with cataract,10 eyes with conjunctivitis,6 eyes with uveitis,15 eyes with external ophthalmoplegia,22 eyes with retinopathy,25 eyes with ametropia.All patients were diagnosed with type 2 DM.Conclusion It is important to notice the symptoms of eyes of patients with DM because of without typical symptoms.
出处
《眼科新进展》
CAS
2008年第1期40-42,共3页
Recent Advances in Ophthalmology
基金
河北省中医药管理局基金资助(编号:05086)~~
关键词
糖尿病
眼科
首诊
diabetes mellitus
ophthalmology
first diagnosis
作者简介
张沧霞，女，1969年9月出生，河北沧县人，副主任医师，副教授。主要研究方向为斜弱视、青光眼、白内障、个性化屈光手术、中西医结合治疗眼底病。联系电话：0317-2078740（O）；E—mail：czxiaxia@126．com
