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免散瞳眼底拍照对糖尿病视网膜病变筛查效果的评价 被引量:23

The value of non-mydriatic fundus camera screening for diabetic retinopathy
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摘要 目的评价免散瞳眼底拍照诊断糖尿病视网膜病变(DR)的效果。方法104例高血糖患者均行免散瞳眼底拍照(NMFCS)和散瞳后7个标准视野眼底彩照(SSSCFP)检查。结果发现任何程度的DR,NMFCS与SSSCFP间有高度一致性(к=0.75±0.03);发现需推荐眼科诊治的DR患者,二者间也有极好的一致性(к=0.85±0.05)。结论NMFCS适用于高血糖人群的DR筛查,对DR的分诊和治疗有指导意义。 Objective To investigate whether the single-field fundus photography can be used as a screening tool to identify diabetic retinopathy. Methods A total of 104 patients with impaired glucose regulation or diabetes were sequentially evaluated by single-field fundus photography and seven standardized 35-mm stereoscopic fundus photograph. Results There was substantial agreement on the diagnosis of diabetic retinopathy assessed between the two techniques. With respect to the need for referral to an ophthalmologist, there was almost perfect agreement. Conclusions The single-field fundus photography can be used as a screening tool to determine the need for referral to an ophthalmologist.
出处 《中国糖尿病杂志》 CAS CSCD 北大核心 2007年第7期395-396,共2页 Chinese Journal of Diabetes
基金 上海市科技发展基金重大项目(04DZ19501)
关键词 免散瞳 数码拍照 糖尿病视网膜病变 筛查 Non-mydriatic Digital imaging Diabetic retinopathy Screening
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参考文献4

  • 1Anja B.Hansen,Birgit Sander,Michael Larsen.Screening for Diabetic retinopathy using a digital non-mydriatic camera compared with standard 35-mm stereo colour transparencies.Acta Ophthalmologica Scandinabica,2004,2:656-665.
  • 2The expert committee on the diagnosis and classification of diabetes mellitus.Follow-up report on the diagnosis of diabetes mellitus.Diabetes Care,2003,26:3160-3167.
  • 3Klein R,Klein BE,Moss SE,et al.The Wisconsin Epidemiologic Study of Diabetic Retinopathy.X.Four-year incidence and progression of diabetic retinopathy when age at diagnosis is 30 years or more.Arch Ophthalmol,1989,107:244-249.
  • 4Younis N,Broadbent DM,Vora JP,et al.Incidence of sight threatening retinopathy in patients with type 2 diabetes in the Liverpool Diabetic Eye Study:a cohort study.Lancet,2003,361:195-200.

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