Diabetic retinopathy for the non-ophthalmologist

被引:92
作者
Fung, Timothy H. M. [1 ]
Patel, Bakula [2 ]
Wilmot, Emma G. [3 ]
Amoaku, Winfried M. K. [4 ]
机构
[1] St Thomas Hosp, London, England
[2] Univ Nottingham, Sch Med, Nottingham, England
[3] Univ Hosp Derby & Burton NHS Fdn Trust, Derby, England
[4] Nottingham Univ Hosp NHS Trust, Nottingham, England
关键词
diabetic retinopathy; diabetic macular oedema; laser photocoagulation; intravitreal injections; vitrectomy; PANRETINAL PHOTOCOAGULATION; RISK-FACTORS; COMPLICATIONS; PROGRESSION;
D O I
10.7861/clinmed.2021-0792
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetic retinopathy is a microangiopathy resulting from the chronic effects of diabetes mellitus. Healthcare professionals often work in isolation to deliver highly specialised care efficiently and effectively for people living with diabetes. It is not uncommon for people with diabetes to be making frequent visits to community and hospital clinics to see a variety of specialists and healthcare professionals, with seemingly little opportunity for coordination of this complex health management programme between the wider team. In a field that is so diverse and rapidly changing, healthcare professionals of all specialties need to be aware of developments across all aspects of diabetes management. In this article, we discuss the epidemiology and natural history of diabetic retinopathy and describe an approach to its assessment and diagnosis. We provide an overview of the principles of diabetic retinopathy management and outline possible future treatments for diabetic retinopathy.
引用
收藏
页码:112 / 116
页数:5
相关论文
共 23 条
[1]   Diabetic retinopathy and diabetic macular oedema pathways and management: UK Consensus Working Group [J].
Amoaku, Winfried M. ;
Ghanchi, Faruque ;
Bailey, Clare ;
Banerjee, Sanjiv ;
Banerjee, Somnath ;
Downey, Louise ;
Gale, Richard ;
Hamilton, Robin ;
Khunti, Kamlesh ;
Posner, Esther ;
Quhill, Fahd ;
Robinson, Stephen ;
Setty, Roopa ;
Sim, Dawn ;
Varma, Deepali ;
Mehta, Hemal .
EYE, 2020, 34 (Suppl 1) :1-51
[2]  
[Anonymous], 1978, Ophthalmology, V85, P82
[3]  
[Anonymous], 1981, OPHTHALMOLOGY, V88, P583
[4]  
[Anonymous], 1987, Int Ophthalmol Clin, V27, P239
[5]   Effects of Medical Therapies on Retinopathy Progression in Type 2 Diabetes. [J].
Chew, Emily Y. ;
Ambrosius, Walter T. ;
Davis, Matthew D. ;
Danis, Ronald P. ;
Gangaputra, Sapna ;
Greven, Craig M. ;
Hubbard, Larry ;
Esser, Barbara A. ;
Lovato, James F. ;
Perdue, Letitia H. ;
Goff, David C., Jr. ;
Cushman, William C. ;
Ginsberg, Henry N. ;
Elam, Marshall B. ;
Genuth, Saul ;
Gerstein, Hertzel C. ;
Schubart, Ulrich ;
Fine, Lawrence J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (03) :233-244
[6]  
Early Treatment Diabetic Retinopathy Study Res Grp, 1991, OPHTHALMOLOGY, V98, P766
[7]   Panretinal Photocoagulation vs Intravitreous Ranibizumab for Proliferative Diabetic Retinopathy A Randomized Clinical Trial [J].
Gross, Jeffrey G. ;
Glassman, Adam R. ;
Jampol, Lee M. ;
Inusah, Seidu ;
Aiello, Lloyd Paul ;
Antoszyk, Andrew N. ;
Baker, Carl W. ;
Berger, Brian B. ;
Bressler, Neil M. ;
Browning, David ;
Elman, Michael J. ;
Ferris, Frederick L., III ;
Friedman, Scott M. ;
Marcus, Dennis M. ;
Melia, Michele ;
Stockdale, Cynthia R. ;
Sun, Jennifer K. ;
Beck, Roy W. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (20) :2137-2146
[8]   Effect of fenofibrate on the need for laser treatment for diabetic retinopathy (FIELD study): a randomised controlled trial [J].
Keech, A. C. ;
Mitchell, P. ;
Summonen, P. A. ;
O'Day, J. ;
Davis, T. M. E. ;
Moffitt, M. S. ;
Taskinen, M. R. ;
Simes, R. J. ;
Tse, D. ;
Williamson, E. ;
Merrifield, A. ;
Laatikainen, L. T. ;
d'Emden, M. C. ;
Crimet, D. C. ;
O'Connell, R. L. ;
Colman, P. G. .
LANCET, 2007, 370 (9600) :1687-1697
[9]   THE WISCONSIN EPIDEMIOLOGIC-STUDY OF DIABETIC-RETINOPATHY .9. 4-YEAR INCIDENCE AND PROGRESSION OF DIABETIC-RETINOPATHY WHEN AGE AT DIAGNOSIS IS LESS THAN 30 YEARS [J].
KLEIN, R ;
KLEIN, BEK ;
MOSS, SE ;
DAVIS, MD ;
DEMETS, DL .
ARCHIVES OF OPHTHALMOLOGY, 1989, 107 (02) :237-243
[10]  
MACHEMER R, 1981, OPHTHALMOLOGY, V88, P643