LONG-TERM OUTCOME AFTER PHOTOCOAGULATION FOR PROLIFERATIVE DIABETIC-RETINOPATHY

被引：15

作者：

SULLIVAN, P ^{[1
]}

CALDWELL, G ^{[1
]}

ALEXANDER, N ^{[1
]}

KOHNER, E ^{[1
]}

机构：

[1] ROYAL POSTGRAD MED SCH,DEPT MED,LONDON W12 0HS,ENGLAND

来源：

DIABETIC MEDICINE | 1990年 / 7卷 / 09期

关键词：

Blindness; Diabetic retinopathy; Mortality; Photocoagulation; Risk factors; Visual acuity; Vitreous haemorrhage;

D O I：

10.1111/j.1464-5491.1990.tb01493.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

One‐hundred and forty patients with 182 treated eyes were followed for up to 10 years after photocoagulation for proliferative diabetic retinopathy. Sixty‐eight patients were still alive and under review after 10 years. Mortality was 33% at 10 years and the survivors were younger when treated and had lower systolic and diastolic blood pressures, a lower urea and creatinine and a lower prevalence of proteinuria and ECG evidence of ischaemia at baseline. Sixty‐nine percent of all patients and 82% of those followed up for 10 years maintained good vision (6/12 or better) in their better eye at the last follow‐up. Visual deterioration occurred mostly in the first 2 years after treatment and risk factors for poor final vision were poor vision at baseline, severity of disc new vessels, and age at presentation. It is concluded that the short‐term beneficial effect of photocoagulation is maintained over long periods of follow‐up. 1990 Diabetes UK

引用

页码：788 / 794

页数：7

共 25 条

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