CAJ | 학술논문

目的筛选经济、简便、有效地糖尿病视网膜病变检查法.方法分别采用散瞳50度眼底后极部彩色照像法、美国早期糖尿病性视网膜病变治疗研究小组确立的散瞳30度眼底七方位彩色照像法和FFA法对164例(308只眼)糖尿病患者进行检查,由有经验的眼底医生按照糖尿病视网膜病变国际临床分类法对图片进行分析给出分期,对三种方法所得结果进行比较.结果散瞳50度眼底后极部彩色照像法和FFA法在DR诊断分期中一致性一般(k=0.488),七方位彩色眼底照像法和FFA法在DR诊断分期中有比较好的一致性(k=0.873).结论七方位彩色眼底照像法可作为糖尿病视网膜病变筛查和指导治疗的一种比较可靠的方法,而散瞳50度眼底后极部彩色照像法的可靠性一般.
목적 사선경제、간편、유효지당뇨병시망막병변검사법.방법 분별채용산동50도안저후겁부채색조상법、미국조기당뇨병성시망막병변치료연구소조학립적산동30도안저칠방위채색조상법화FFA법대164례(308지안)당뇨병환자진행검사,유유경험적안저의생안조당뇨병시망막병변국제림상분류법대도편진행분석급출분기,대삼충방법소득결과진행비교.결과 산동50도안저후겁부채색조상법화FFA법재DR진단분기중일치성일반(k=0.488),칠방위채색안저조상법화FFA법재DR진단분기중유비교호적일치성(k=0.873).결론 칠방위채색안저조상법가작위당뇨병시망막병변사사화지도치료적일충비교가고적방법,이산동50도안저후겁부채색조상법적가고성일반.
Objeetive To evaluate the ability ofmydriatic single-field 50°digital fundus photography and mydriatic 7-standard field fundus photography to detect diabetic retinopathy (DR)in patients with diabetic mellitus (DM)compared with fluorescein fundus angiography (FFA).Methods A Total of 164 diabetic patients attending a hospital-based screening clinic were recruited.Mydriatie single-field 50°digital fundus photography,mydriatic 7-standard field ETDRS fundus photography and FFA were performed using a Zeiss ff450 plus IR fundus camera.Grading of diabetic retinopathy was carried out by two ophthalmologists with diabetic retinopathy international clinical classification.The results were evaluated and compared respectively.ResuitsMydriatic single-field 50°digital fundus photography and FFA demonstrated moderate agreement (k=0.488).Mydriatic 7-standard field fundns photography and FFA demonstrated near perfect agreement (k=0.873).Conclusion Mydriatic 7-standard field fundus photography is an effective and clinically viable technique to screen for diabetic retinopathy among a diabetic population,Mydriatic single-field 50°digital fundus photography moderate.