Résumé
In order to investigate the cumulative incidence and risk factors for diabetic retinopathy among non-insulin dependent diabetes mellitus, 116 patients which given diagnosis of diabetes at age 30 years or older who had been followed-up for more than 10 years and were initially free from retinopathy were analysed retrospectively. Several risk factors for retinopathy were analysed at the initial examinations: sex, age at the onset, age at the initial examination, duration, fasting plasma glucose(FPG), two-hour postpradial plasma glucose(pp2), blood pressure, hypertension status, therapeutic regimen, total cholesterol, HDL-cholesterol, triglyceride, body mass index. After a mean follow-up time of 11.7 years. The cumulative incidence was 31.0%. By univariate analysis. Significant risk factors of retinopathy were age at the onset, age at the initial examination. FPG, PP2, therapeutic regimen. However, By using multivariate analysis. Independent risk factors were not found.
Sujets)
Humains , Pression sanguine , Indice de masse corporelle , Cholestérol , Diabète , Rétinopathie diabétique , Diagnostic , Jeûne , Études de suivi , Hypertension artérielle , Incidence , Analyse multifactorielle , Plasma sanguin , Études rétrospectives , Facteurs de risque , TriglycérideRésumé
In order to evaluate the ocular autonomic dysfunction in diabetics, pupil cycle time(PCT) was assessed in 201diabetics and 33controls. PCT was significantly different between the diabetics and controls and prolonged in diabetics in regard to the severity of retinopathy(p<0.05). PCT was significantly prolonged in diabetics in regard to the diabetic peripheral neuropathy and nephropathy(p<0.05). PCT was significantly different among the diabetic groups in regard to the duration of diabetes(p<0.05). Sustainde PCT was unmeasurable in 56.7% of diabetics and in 72.3% of proliferative diabetic retinopathy compared with 28.8% of controls(p<0.05). Ocular autonomic dysfunction in diabetics correlated closely with the severity of the diabetic retinopathy, diabetic petiphetal neuropathy and nephropathy, diabetic duration.
Sujets)
Néphropathies diabétiques , Rétinopathie diabétique , Neuropathies périphériques , PupilleRésumé
Orbital hematoma is a condition not often encountered by the ophthalmologist. Trauma is the most common cause among the conditions caused to orbital hematoma. We have experienced a case of traumatic orbital hematoma with severe proptosis, visual deterioration, and limitation of EOM which was spread from parietal subperiosteal hemorrhage. It was managed efficiently by Hemo-vac application through transparietal route. We report this case with the review of the literatures.