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Diabetic retinopathy treatment and care


Key words diabetes; diabetic retinopathy; photocoagulation; nursing [Abstract] investigated 48 patients with diabetic retinopathy (DR), patients with early failure accept the reasons for ophthalmic treatment, found that the main reason for the lack of understanding of the DR, blood glucose control is not satisfactory,[link widoczny dla zalogowanych], timely specialist inspection is not that close with diabetes to eye health care workers (DM) specialist's contact, as soon as possible the health of DR in patients with DM education and understand the DR treatment and care. Chinese papers League finishing. [Key words] diabetes mellitus; diabetic retinopathy; photocoagulation; nursing Diabetic Retinopathy's The rapy and Nurse Abstract: Through investigating 48 cases of DR (Diabetic Retinopathy), this paper summary the reason that the patients can not accept the early Ophthalmology treats.The main reasons are that the patients don't understand DR enough, controlling the blood sugar level not ideally and accepting the specialized examination not in time . This Paper points out that the doctors of ophthalmology department should strengthen the relation with diabetes department, educte the DM patient with DR health knowledges as soon as possible and understand the DR theraph and nurse. Key words: Diabetes ; Diabetic Refinopathy; The light congeals; The measure of nurse diabetes is a complex metabolic diseases, early child gradually cause systemic vascular involvement in many tissues and organs of the extensive damage, diabetes is not terrible fears is the retinal complications, diabetic retinopathy is a serious complication of diabetes is one of the four major cause of blindness in Europe and the United States to rank first or second eye disease. Also the growing number of diabetic patients, so blinding diabetic retinopathy were also on the rise, the incidence of diabetic retinopathy and development depends not only on the degree of metabolic disorders, and diabetes onset age, duration of disease, genetic factors and diabetes control situations, About 10% of patients with diabetes after the onset of 5 a ~ 9 a can of diabetes retinopathy, 15 a person after the occurrence of about 50% of diabetic retinopathy, 25 a 80% to 90% after someone who is diabetic retinopathy. 1 General Information this group from 2003 to 2005 in our department hospitalized patients with diabetic retinopathy in 48 patients (96 eyes) of 31 males and 17 females, aged 35 to 71 years, mean (56.3 ± 10. years, diabetes mellitus type 1 in 6 cases, 42 cases of type 2 diabetes of 6 Ⅲ, Ⅳ stage 2, Ⅴ of 44, Ⅵ of 25 eyes. Education: 8 cases of primary and secondary schools in 31 cases, 9 cases of college. Average duration (18.3 ± 6.27) a, corrected visual acuity in newly diagnosed: 14 eyes <0.05,25 eyes 0.05 0.3 ~ 0.5,24 0.2,33 eyes eyes 0. 6 ~ 1.0. 2 clinical treatment 2.1 in principle, should be the first drug treatment to normal blood glucose control, blood glucose control and prognosis in the case of a great relationship, if Long-term poor control of blood glucose increase is not only the development of diabetes were also more proliferative type. 2.2 photocoagulation photocoagulation treatment of diabetes in different periods for different purposes, its methods are also different. Small swelling of the macular photocoagulation treatment: When the macula increased capillary leak, macular swelling was small and even small cystic swelling, visual acuity continued to decline, can be used for local grid argon laser photocoagulation to prevent vision loss. Photocoagulation treatment of proliferative phase: can be used in all retinal photocoagulation. If the retina or optic disc neovascularization should immediately have a full-retinal photocoagulation to prevent new blood vessels bleeding and a further decline in visual acuity. Photocoagulation of the method to use 3 to 4 times, each time photocoagulation 500 points, the weekly total of 1 500 to 2 500 suitable spot, spot size of 500 μm can be used around the macula near 200 μm ~ 300 μm spot, photocoagulation 3 months repeated if new blood vessels form fluorescence can be replaced as photocoagulation. 2.3 cold treatment of patients with diabetic retinopathy as a result of cataract and vitreous hemorrhage can not be invisible fundus photocoagulation treatment, the retina can be cold treatment.