糖尿病视网膜病变英文ppt课件

The normal structure of the eyeball,Terms,角膜：cornea Corne/o-, Cornea角膜， Megacornea大角膜， Microcornea小角膜， Kerat/o-, Keratitis角膜炎， Keratomalacia角膜软化症 巩膜：sclera Scler/o-, Scleritis巩膜炎， Episcleritis表层巩膜炎， Episclera巩膜上层 （epi-，beyond something）,epidermis表皮，上皮 Epidermal表皮的，外皮的,虹膜:iris , Irid/o-, Iridotomy虹膜切开术，iridectomy虹膜切除术，iridocyclitis虹膜睫状体炎 睫状体：ciliary body 脉络膜:choroid , Choroid/o-, choroidal脉络膜的，choroidoretinitis脉络膜视网膜炎 视网膜：retin/o retinitis视网膜炎，retinopathy视网膜病变,diabetic retinopathy糖尿病视网膜病变 瞳孔:pupil ,Pupill/o-,pupillomotor瞳孔运动的，pupillometer瞳孔计 玻璃体:vitreous , Vitre/o-, vitreous玻璃体的,Vitrectomy玻璃体切除术, Vitreretinal玻璃体视网膜的,Vitreretinopathy玻璃体视网膜病变 晶状体：lens 视盘：optic disk 黄斑:macular 视神经：optic nerve 中央凹:Fovea,Diabetic retinopathy,Definition Causes Symptoms Risk factors Tests and diagnosis When to seek medical advice Complications Treatments and drugs Prevention,Diabetic retinopathy,Definition,Diabetic retinopathy is a complication of diabetes that results from damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina).,cause,Diabetic retinopathy can happen to anyone who has type 1 diabetes or type 2 diabetes.,Causes,When you have diabetes, your body doesnt use sugar (glucose) properly.,Causes,If your blood sugar level is too high, your natural lens may swell which can blur your vision.,Causes,Eventually, too much sugar in your blood can damage the tiny blood vessels (capillaries毛细血管) that nourish the retina. This can result in diabetic retinopathy. capillary ,Capill/o- , n.& adj.毛细管(的) Capillaritis毛细管炎,Symptoms,At first, diabetic retinopathy may cause no symptoms or only mild vision problems.,Symptoms,You can have diabetic retinopathy and not know it. In fact, symptoms are unusual in the early stages of diabetic retinopathy.,Symptoms,Eventually, however, diabetic retinopathy can result in blindness. In China ,diabetic retinopathy is a leading cause of blindness in adults.,symptoms,In fact, up to 45 percent of adults diagnosed with diabetes in China have some degree of diabetic retinopathy, according to the National Eye Institute.,symptoms,And the longer you have diabetes, the more likely you are to develop diabetic retinopathy.,Symptoms,Diabetic retinopathy usually affects both eyes.,Symptoms,As the condition progresses, diabetic retinopathy symptoms may include: A) Spots floating in your vision B) Blurred vision C)Dark streaks or a red film that blocks your vision D) Poor night vision E) Vision loss,Diabetic retinopathy is usually classified as early or advanced.,Early diabetic retinopathy. Nonproliferative diabetic retinopathy (NPDR) is the most common type of diabetic retinopathy. It can be described as mild, moderate or severe. NPDR : (Non Prolifertive Dibetic Retinopthy) 非增殖性糖尿病视网膜病变,When you have NPDR, the walls of the blood vessels in your retina weaken.,Tiny bulges（凸起） protrude（伸入） from the vessel walls, sometimes leaking or oozing fluid and blood into the retina. These bulges are called microaneurysms. Microaneurysms : 微动脉瘤，微血管瘤,In the early stages of diabetic retinopathy, the walls of the blood vessels in your retina weaken. Tiny bulges protrude from the vessel walls, sometimes leaking or oozing fluid and blood into the retina. As diabetic retinopathy progresses, new blood vessels may grow and threaten your vision.,As the condition progresses, the smaller vessels may close entirely and the larger retinal veins may begin to dilate（扩大） and become irregular in diameter（直径）. Nerve fibers in the retina may begin to swell.,Sometimes the central part of the retina (macula) begins to swell, too. This is known as macular edema. Macula : 黄斑 Macular edema ：黄斑水肿,terms,Extensive ：广泛的，大量的 Intraretinal microvascular abnormalitis （IRMA）视网膜内微血管异常 Intraretinal : 视网膜内部的 Microvascular ：微血管的 Cotton wool spots : 棉绒斑 Hemorrhage ：出血 Roots that means blood：Hemo- ，hema- ,hem-, haemo- ,haema- ,haem- -rrhage ,出血，流血 Gastrointestinalrrhage 消化道出血,Advanced diabetic retinopathy. Proliferative diabetic retinopathy (PDR) is the most severe type of diabetic retinopathy.,When you have PDR, abnormal blood vessels grow in the retina.,Sometimes the new blood vessels grow or leak into the vitreous (the clear, jelly-like substance that fills the center of your eye ). 玻璃体:vitreous ，Vitre/o-, vitreous玻璃体的, Vitrectomy玻璃体切除术, Jelly-like :胶状的,Eventually, scar tissue stimulated by the growth of new blood vessels may cause the retina to detach（脱离） from the back of your eye.,If the new blood vessels interfere with the normal flow of fluid out of the eye, pressure may build up in the eyeball. This can damage the optic nerve . (The nerve that carries images from your eye to your brain ).,Peripheral : 外围的，不重要的 Peri- ，外围的，周围的 Perinatal 围产期的，出生前后的 Periportal 门静脉周的， Periarteritis 动脉周围炎， periappendicitis 阑尾周炎,Exudative maculopathy : 渗出性黄斑病变 Hard exudates :硬渗出物 Hard exudates and hemorrhages lateral to macula ：单侧性黄斑硬性渗出和出血 Lateral :侧部的,Apparent ：明显的 Quadrant ：象限，四分之一圆 Prominent ：显著的,Risk factors,Diabetic retinopathy can happen to anyone who has diabetes. The risk is highest if you:,Risk factors,Have poor control of your blood sugar level Have high blood pressure Have high cholesterol Are pregnant Are black or Hispanic Smoke Hispanic ：西班牙人 Cholesterol ：胆固醇,Risk factors,The longer you have diabetes, the greater your risk of developing diabetic retinopathy.,When to seek medical advice,Early detection of diabetic retinopathy is the best way to prevent vision loss: （a）If you have diabetes, see your eye doctor for a yearly dilated eye exam（扩瞳检查） even if your vision seems fine. （b）If you become pregnant, your eye doctor may recommend additional eye exams throughout your pregnancy. (c)Contact your eye doctor right away if you experience sudden vision changes or your vision becomes blurry, spotty or hazy（模糊或有斑点）.,Complications,The abnormal growth of new blood vessels in the retina can lead to serious vision problems:,Vitreous hemorrhage. The new blood vessels may bleed into the clear, jelly-like substance that fills the center of your eye（vitreous）. Retinal detachment（视网膜脱离）. This may cause blurred vision, spots floating in your vision or severe vision loss.,Glaucoma. The new blood vessels may interfere with the normal flow of fluid out of the eye and cause pressure in the eye to build up. Blindness. Eventually, diabetic retinopathy can lead to complete vision loss. Glaucoma ：青光眼,Tests and diagnosis,Diabetic retinopathy is best diagnosed with a dilated eye exam. During the exam, your eye doctor will look for: Abnormal blood vessels Swelling, blood or fatty deposits in the retina Damage to the nerve tissue Growth of new blood vessels and scar tissue Bleeding in the vitreous Retinal detachment,Tests and diagnosis,As part of the eye exam, your doctor may do a retinal photography test called fluorescein angiography. Your doctor also may request an optical coherence tomography (OCT) exam. Fundus fluorescein angiography (FFA)荧光素眼底血管造影术 Fundus 眼底，基底，宫底，Fluorescein 荧光素，angiography 血管造影术,Fundus hemorrhage 眼底出血 Optical coherence tomography （OCT）光学相干断层扫描 Coherence 连续性，相关性，一致性 Tomography ：X线断层摄影术=laminography,Treatments,Treatment for diabetic retinopathy depends on the type of diabetic retinopathy you have, its severity and how well it may respond to specific treatments.,Early diabetic retinopathy,If you have nonproliferative diabetic retinopathy, you may not need treatment right away. However, your eye doctor will closely monitor your retina to determine if you need laser treatment.,Advanced diabetic retinopathy,If you have proliferative diabetic retinopathy, youll need prompt surgical treatment. Sometimes surgery is recommended for severe nonproliferative diabetic retinopathy, too. Depending on the specific problems with your retina, options may include:,Treatments and drugs,laser treatment surgical treatment. Virtectomy,Prevention,Remember, diabetes doesnt necessarily doom you to poor vision. Taking an active role in diabetes management can go a long way toward preventing complications. Doom 宣告厄运,Prevention,Make a commitment to managing