about the evaluation of the efficacy of the early intervention of diabetic retinopathy（的评价糖尿病视网膜病变的早期干预的效果）.docVIP

About the evaluation of the efficacy of the early intervention of diabetic retinopathy [Abstract] Objective To investigate the early vitrectomy surgical treatment of diabetic retinopathy on visual function. Methods vitreous hemorrhage within 3 months more than 3 months and vitreoretinal proliferation severe in late compared the early and late are used vitreous excision or combined with intraocular laser photocoagulation, after review of more indicators, preoperative, postoperative visual function and anatomical structure to identify the optimal timing of surgery, diabetic patients get better vision results early intervention in the treatment group, the visual acuity of 0.1 to 0.3 patients visual acuitygt; 0.3 group of patients, the statistical analysis of the results show that early treatment group and the late treatment group difference was statistically significant. 3 months after fundus fluorescein angiography check, regression of neovascularization of the early treatment group, fluorescein leakage disappeared, significantly reduced macular edema; subsided late treatment group neovascularization, fluorescein leakage disappeared, significantly reduced macular edema. Conclusions Early intervention treatment of diabetic retinopathy patients in the combined vitreous hemorrhage, vitrectomy within three months, to get better vision than 3 months after surgical treatment. [Keywords] diabetic retinopathy; early intervention; vitrectomy Diabetes (diabetic mellitus, DM) and its complications has become a disease of serious harm to the health of the people outside of the tumor and cardiovascular and cerebrovascular diseases, the most common complications of diabetes in the eye, diabetic retinopathy (diabetic retinopathy, DR) diabetes retinopathy incidence is increasing year by year with the duration of diabetes development, 5 years after the onset of diabetes retinopathy occur in approximately 25% to 60% after 10 years, can be as high as 75% to 80% after 15 years o