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2126806 2010 年 11 月 30 日 15:45 Reading (loading. ..) Comments (0) Category: Personal Diary
Diabetes Eye
Professor Zhang Maonian, director of the PLA General Hospital, PLA Eye Center, American Academy of Ophthalmology Member, Chinese Journal of Ophthalmology Fellow. Clinical Ophthalmology has been engaged in teaching and research work, professional talent for the eye injury, diagnosis and treatment of vitreoretinal disease, fundus basic and clinical research. (Left)
Professor Lu Juming, Department of Endocrinology, PLA General Hospital,
belstaff online, director of the State Council issued a special government allowances. Clinical work in endocrine specialist for 25 years, on the endocrine system, diabetes, pituitary, thyroid, parathyroid and adrenal diagnosis and treatment of diseases such rich clinical experience. (Right)
viewers Hello everybody! Here is the \If an eye doctor shook his head directed at a patient, said nothing to you this way I do the eyes, that this is why, because of eye trauma, maybe not, diabetes can make the eye doctor said so to, in fact, eye problems caused by diabetes are many, is also very common, but often people have diabetes and do not care, then the slow process of development, in the end who should control it yet. Many diabetic patients, did not think the disease will affect the development of the eye.
diabetic eye disease type?
diabetes is the body itself is a disorder of glucose metabolism and disease, which can affect the body's capillaries and large blood vessels.
diabetic eye disease type:
1, diabetes, corneal disease
2, diabetic cataract
3, diabetic retinopathy
4, diabetic optic neuropathy
5, diabetes, glaucoma
6, diabetes, refractive change (myopic)
7, diabetic neuropathy (cornea and eye muscle)
blindness caused by diabetic eye disease
important reason?
diabetic retinopathy,
belstaff coat, blindness is caused by the most important reason. Other eye is blind due to complications caused by, for example, diabetic retinopathy, the latter later, can be complicated glaucoma. Each of these eye diseases is not entirely separate, there is a connection.
clinical characteristics of diabetic retinopathy?
diabetic retinopathy, in 84 years, learned to set a national standard fundus, which is the standard at different stages of diabetic eyes. Diabetes from two of our domestic points, called the background of, is by nature a period of, in general, is the gradual change from the simple to the complex. Look at this diagram, we see this picture,
belstaff jacket, the retina is only scattered, few, these red spots of varying sizes, the red dot is the capillary hemangioma, upper left corner of this relatively more, in addition to other red dot is also with yellow spots, the yellow point is further progress, and further damage blood vessels, and some plasma components leaking into the retina. Top right corner of this picture, in addition to the red dot and yellow dot, there has been bleeding. This is the most serious lower right corner of the stage, and this stage is the advanced stage of diabetic retinopathy, we see that the white tape, is to increase the quality of the film, after film formation, to pulling the retina, the retinal traction, traction formed after retinal detachment, the people called retinal detachment. I just said, teachers have a detached eye retina traction, the other eye, a vitreous hemorrhage, which is in accordance with the classification of diabetic retinopathy If so, is the fifth stage is a very serious stage, and if the development to this stage, only surgery can cure.
new model of diabetes treatment and joint clinic like?
diabetic eye disease occurs,
belstaff leather, are visual impact and we have to see the doctor, is it too late, in order to early detection, early diagnosis of diabetic retinopathy and other complications Therefore, the hospital also launched a joint diabetic clinic. Many organs of the body because of diabetes should be affected, so it is necessary for a number of medical disciplines combined regulation, a patient can fully solve the problem of the patient, including evaluation of the disease, check with no complications, and the development of rational treatment. The composition of our joint clinic of diabetes is this:
components: diabetes specialist
diabetes educators
Nutrition
eye doctor
other physicians
procedures: one to register and multidisciplinary treatment.
how prevention of diabetes eye disease?
diabetic eye disease, and blood sugar are one of the most closely related, ie, no diabetes, high blood sugar there is no eye, so the first day of diabetes is to know the beginning, in strict accordance with asked to control blood sugar, there are a lot of information, early and effective control of the blood glucose to normal, can greatly reduce the incidence of diabetic eye disease, or delay the development. Diabetes often have other complications, such as blood pressure, but also lipid abnormalities, especially increased blood pressure that has been proven that good control of the hypertension, diabetic retinopathy can reduce the occurrence and development. Therefore, control of blood glucose and blood pressure control are the two cores.
diabetic eye disease treatment, prevention and control in addition to blood glucose control than now, is there some effective drugs to control the course of the disease?
for diabetic retinopathy, strictly speaking do not have effects of drugs, like diabetes, like diabetes, up to now, there is no way a cure, but said it delayed the development of diabetes eye disease, the role of drugs, too, some drugs can delay the development can not be cured. The root cause of diabetes because of increased blood sugar, causing some changes in microcirculation,
belstaff uk, is currently using these drugs, are also improving the microcirculation of the retina of some drugs, such as calcium hydroxy manganese Huang, An Duoming and so on.
treatment of retinal diseases
effective means what?
can be applied to drugs in early development of delay it, if diabetic retinopathy, the development to a certain stage, you need to laser treatment, if the development to the late, it would need surgery.
What is laser treatment?
laser treatment, the first doctor to open the pupil, and then put some eye drops on contact lens, the mirror surface of the eye button in the patient, and then the laser treatment, many patients Some fear the laser, as laser is very bright, because the play is around, does not hit parts of central vision. We see that twinkling laser, hit back to normal, the energy should be relatively smaller, you need to hit the spot around the bigger, have higher energy, so that is conducive to the elimination of disease. When we hit the laser can not hit in the macular area, if you play in this place, the patient, there is no vision, so we have to play a full part of lesions. In addition to stress, making laser treatment before, to give their patients the fundus angiography, the purpose is to see the location of his lesions, the severity of his disease, what areas need to play laser.
laser treatment for diabetic people, the conventional approach is to do four to five times, for a wide range of needs of patients in terms of full-retinal photocoagulation, requires each week do it once again to make a quadrant, that is to be divided into four round eyes, a time to do, we generally control the light spot 400 to 600 points, play down the eyes a month or so, because the lesions are rather broad, we Finally, keep this piece is the macular area, the patient's vision is to rely on this one.
vision after laser treatment, what kind of recovery?
laser treatment of diabetic retinopathy is a very effective method. However, many patients had decreased visual acuity after laser treatment, it is because we play laser is divided into four to play, but after playing a hundred eyes, five hundred optoelectronics, the so-called laser ablation is what people say, burning the retina will produce future Some edema, which can affect vision, especially the macula, if there is macular disease, fight macular laser to first hit, and then call the other lesions, macular edema, or the influence of vision, so we can not produce as much as possible so that macular edema.
laser has made more than six months, why not gotten better?
The purpose of the laser is divided
closed angiogenesis, and improve blood supply to the retina, the laser does not increase the visual acuity, can increase the vision to see you the severity of macular disease, if you are playing Before the laser, has a large number of exudative macular and severe edema, then after playing a laser to improve vision is very limited.
two experts today stressed the issue, for diabetic patients,
belstaff outlet, blood sugar should be aware of their situation, according to other complications to monitor blood sugar problems, do not wait until the vision has down, not see things to see a doctor, an ophthalmologist may be the time you give out a big problem.
Hospital Tel: 01066936213 66937711
clinics Time: ZHANG Mao on Tuesday morning, Thursday afternoon
Lu Juming Monday, Thursday and Friday morning
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