The candy network disease causes the blind primary reason The diabetic should check the optical fundus regularly

The candy network disease causes the blind primary reason The diabetic should check the optical fundus regularly
Two years ago, blood of a person of glass volume of eyes, eyesight can only be counted clearly at the moment the patient of the finger came to the hospital, cause the intersection of he and origin that eyesight damage seriously, eye complication that diabetes caused.
This middle aged male patient, was diagnosed as diabetes, but he, to the scarce understanding of diabetes several years ago, busy doing business again, has not treated and reexamined systematically, his diabetes is totally in the state out of control. In one day on the feast, he thinks one sheltered from the dark shadow suddenly at the moment. The next day, he was diagnosed as hyperplasia type diabetes retinal pathological change. He realizes the danger of diabetes at this moment. Later on he cooperates with the division of endocrinology to control blood glucose normally on one hand, use the blood of glass volume of medicine treatment on the other hand. However, because eye pathological change is too serious, the blood of glass volume is unable to absorb, the doctor implements the vitreous excision for him finally, go on the laser treatment many times even while being postoperative. Between the two year, he use medicine strictly, reexamine regularly, eyesight the finger is raised to 0.2 at the moment from only can count clear, but the normal eyesight with 1.0 has disparity greatly.
How was diabetes damaged to eyes? In that hyperglycemia causes pathological change take place in the blood capillary of every histoorgan of whole body, blood capillary cells are damaged, the vascular protective screen function is destroyed, cause every organ pathological change and function obstacle. Only in the ophthalmology department, diabetes will cause many kinds of complications, for instance, little hemangioma of conjunctiva, cornea consciousness failing, dry eyes, crooking all, eyes skin paralysis, supersession cataract, iris new born blood vessel glaucoma, diabetes retinal pathological change,etc.. The diabetes retinal pathological change among them, commonly called as the candy network disease, it is diabetes and most serious eye complication, also cause blind primary reason.
Already over 40 million people of diabetic of our country, increase 1,200,000 patients newly every year at present. The longer diabetic's course of disease is, the candy network disease is ill to lead the higher and the condition is the more serious. The domestic investigation reveals, diabetic's course of disease is smaller than 5, the ill rate of network disease of candy is 19.4%; 5 year - 38 in 10 years person. 8%; 10 year - 63 in 15 years person. 3%; More than person is 78 in 15 years. 0%. Beijing the intersection of Chaoyang District and one the intersection of eyesight and deformity investigation reveal, the candy network accounts for disabled 8.52% of eyesight 2009, it is 34.93% that cataract disables leading. Can perform the operation and regain one's sight in cataract, but the candy network disease can cause the irreversible eyesight deformity.
In order to reflect the severity of the candy network disease accurately, there are several kinds of common phased standards in the world. Of our country the intersection of candy and the intersection of network and disease is from light to being serious to divide into 6 issue 2 type altogether: The first 3 issues are simple type, the last 3 issues are hyperplasia type, the intensity of simple pathological change is light, the hyperplasia type intensity of pathological change is serious. Candy network disease patient at any stage, all need long-term normal drug therapy, as to serious pathological change, should adopt the retinal laser to solidify the treatment or laser and unite the vitreous excision treatment in time. According to the investigation, 82.71% of the diabetics in our country have not checked the idea of the optical fundus regularly, 80.36% of the candy network disease patients of hyperplasia type find for the first time in the optical fundus are checked. Because candy network disease serious, treat difficulty to be large, medicine treat expense to be high, prognostic eyesight relatively wants difference, so the diabetic must go to the ophthalmology department to go to a doctor as soon as possible, should diagnose the candy network disease in early days, treat in early days.
Take treatment of the hyperplasia type candy network disease as examples, if pathological change is relatively light, treat and control the condition only with the laser, the expenses are about more than 1000 yuan; If is serious, need vitreous excision to treat, the expenses are about 10,000 yuan. If a hyperplasia type candy network disease patient is because of the deformity disability of eyesight, also need other people to care for, as to whole society, have lost two workforces in other words, the economic losses are greater.
(author is a ophthalmology attending physician of Beijing Chaoyang hospital)
|