دراسة إحصائية لاعتلال الشبكية السكري لدى السكريين من مراجعي العيادة العينية في مشفى الأسد الجامعي باللاذقية
Abstract
تناولت الدراسة (160) مريضاً سكرياً شخص لديهم اعتلال الشبكية السكري وكانت نسبة اعتلال الشبكية السكري (78.68%) بين المرضى السكريين المراجعين للعيادة العينية والذين بلغ عددهم (488) مريضاً, وكانت أكثر الاصابات هي في مرحلة الاعتلال اللاتكاثري (230 عيناً من أصل 310 عيون مصابة باعتلال الشبكية السكري أي بنسبة 74.2% ) بينما التكاثري (80 عيناً أي بنسبة 25.8% ) واعتلال اللطخة السكري (138 عيناًَ أي بنسبة 44.5% ), وبلغت نسبة العيون المعالجة بالليزر (82.58%) وقد حدث التحسن أو الاستقرار في القدرة البصرية عند(85.6%) في حالة اعتلال اللطخة السكري بعد المعالجة بالليزر للطخة, وهذه النسبة هي أكبر في الداء السكري من النمط ІІ(90.90%) منه في النمطІ(69.70%) كما تبين أن ضبط سكر الدم وعوامل الخطورة على الشبكية أساسي في الاستجابة الجيدة للعلاج, كما تم تبني بروتوكول تشخيصي وعلاجي معتمد عالمياً لمرضى اعتلال الشبكية السكري.
The study included 160 diabetic retinopathy patients, the rate of diabetic retinopathy among the diabetic patients 488 patients was ( 78.68%). Most eyes were in the nonproliferative stage (230 eyes= 74.2%), whereas those with prolifirative stage (80 eyes= 25.8%) were higher. 138 eyes (44.5%) of eyes had maculopathy.
82.58% of eyes underwent retinal photocoagulation, (85.6%) of the maculopathy eyes keep the same or have a better visual acuity after treatment by laser for maculopathy, (69.70%) of type І eyes had benefited from treatment whereas (90.90%) of type ІІ had done. Good control of blood glucose level and risk factors is essential for good response to treatment.
A universal diagnostic and therapeutic protocol has to be followed for diabetic retinopathy patients.
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