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中医眼科学强调局部辨证与整体辨证相结合,所以不仅要重视全身表现和舌脉,更要重视局部体征。目前的教学,对于有辨证意义的糖尿病视网膜病变的眼底表现均使用单纯的语言描述,或只结合单纯的眼底图片对学生进行讲解,学生缺少直观的感受,难以理解,只能死记硬背。在教学中尝试根据教科书上列举的各种糖尿病视网膜病变的辨证分型及眼底表现,配上相对应的眼底图片,并结合目前眼科领域常用且较为先进的相干光断层成像(OCT)的图像,三者结合,展示给学生。既最大限度地保持了和教科书的一致,又能直观地让学生看到糖尿病视网膜病变各种证型对应的眼底表现,提高了学生学习的积极性。“,”Ophthalmology of Chinese medicine focuses on the combination of local differentiation syn-drome and integral differentiation syndrome,so in clinical practice systemic manifestation with tongue, pulse and local signs are equally important.Now,when the teachers give the lessons linked to fundus manifestations of diabetic retinopathy,what they can do is only simple description and explanation with or without pictures of fundus.And the college students are lack of intuitive feelings and hard to understand, who can only learn by rote and forget quickly.We attempt to combine classification of syndrome differen-tiation,DR images of fundus,with optical coherence tomography (OCT)images.The improvement in teaching both keeps consistent with the textbooks,and shows the students intuitive fundus manifestation of diabetic retinopathy corresponding to each syndrome type,which improves the students’learning enthusi-asm.