糖尿病性视乳头病变的临床特征

来源 :第八届亚洲神经眼科大会暨第四届全国神经眼科学术会议 | 被引量 : 0次 | 上传用户:wanfl1985
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  目的 回顾性分析糖尿病性视乳头病变(diabetic papillopathy,DP)的临床表现和辅助检查特点.方法 回顾性分析239例(478眼)糖尿病患者的临床病例.筛选具备糖尿病视盘病变诊断标准的14例17眼底及OCT、FFA等.并与糖尿病患者符合缺血性视神经病变入选的14例14眼对比.结果 12例糖尿病性视乳头病变本研究中,发病率为0.05%,11例并发背景期糖尿病视网膜病变.眼底检查发现视盘水肿、出血、充血、色淡等.但是,FFA表现有特征性改变;OCT表现DP比较NAION,表现为相对均衡的增厚.结论 糖尿病性视乳头病变是具备独立临床特征的疾病,对于本病应当更为重视,对于临床上的诊断标准以及与缺血性视神经病变的关系尚待进一步研究.
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