国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (6): 495-498.doi: 10.3760/ cma.j.issn.1673-5803.2021.06.006

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瞳孔直径在糖尿病病程评估中的作用

孙长策  张晓俊   

  1. 南京医科大学 210003
  • 收稿日期:2020-04-07 出版日期:2021-12-22 发布日期:2021-12-23
  • 通讯作者: 张晓俊,Email: zhangxiaojun@njmu.edu.cn

Role of pupil diameter in the course of diabetes mellitus

Sun Changce, Zhang Xiaojun   

  1. Nanjing Medical University, Nanjing 210003, China
  • Received:2020-04-07 Online:2021-12-22 Published:2021-12-23
  • Contact: Zhang Xiaojun, Email: zhangxiaojun@njmu.edu.cn

摘要: 糖尿病患者自主神经病变最常见的瞳孔表现包括瞳孔直径缩小,缩瞳、扩瞳的幅度减少,对抗胆碱药物散瞳的敏感性降低。糖尿病患者自主神经系统病变与瞳孔直径相关,瞳孔直径变化对早期的糖尿病性自主神经病变有一定的诊断价值。作为一个简单易行、价格低廉、准确敏感的检测早期糖尿病自主神经病变的方法,瞳孔直径测量技术可以潜在地改善糖尿病神经病变患者的预后。(国际眼科纵览,2021, 45:495-498)

关键词: 瞳孔直径, 糖尿病, 糖尿病自主神经病变 ,  ,

Abstract: The most common pupillary manifestations of autonomic neuropathy in diabetic patients include decreased pupillary diameter, reduction of pupillary constriction and dilation, and decreased sensitivity to anticholinergic drugs. Diabetic autonomic neuropathy is associated with pupillary diameter, and the change of pupillary diameter is of diagnostic value for early diabetic autonomic neuropathy. As a simple, inexpensive, accurate and sensitive method for the detection of early diabetic autonomic neuropathy, pupil diameter measurement has the potential to improve the prognosis of patients with diabetic neuropathy. (Int Rev Ophthalmol, 2021, 45: 495-498)

Key words: pupil diameter, diabetes mellitus, diabetic autonomic neuropathy