Objective To study the changes in contrast sensitivity and glare sensitivity after intensive glucose control during a six-month follow-up period.Methods In a prospective case series study,108 eyes of 54 patients who underwent intensive glucose control treatment were included in this study.The Takagi CGT-1000 was used to obtain contrast sensitivity and glare sensitivity for the eyes of all patients.Measurements were taken at pre-treatment,3 and 6 months after intensive glucose control.The repeat measurement ANOVA and the least-significant difference (LSD) pairwise were used for statistical comparison and data analysis.Results Contrast sensitivity:contrast sensitivities at 6.3°,2.5°,1.6° and 1.0° 3 months after intensive glucose control were higher than those before treatment (t=2.521,3.298,2.808,3.275,P<0.05); contrast sensitivities at 2.5° and 1.0° 6 months after intensive glucose control were higher than those before treatment (t=2.096,2.059,P<0.05).There was no significant difference in contrast sensitivity at each frequency between 3 months and 6 months.Glare sensitivity:Glare sensitivities at low,moderate and high frequencies 3 months and 6 months after intensive glucose control were higher than those before treatment.However,there was no statistically significant difference at each frequency between the pre-treatment and post-treatments (F ranged from 1.092 to 3.046,P>0.05).Conclusion Intensive glucose control can improve visual function for the short term and may delay the progress of visual function damage in the early stage of diabetic retinopathy.
陈镇国,陈嘉玮,林思思,钟洪亮,张加裕,田蓓. 胰岛素强化治疗早期糖尿病视网膜病变患者对比敏感度与眩光功能的变化[J]. 中华眼视光学与视觉科学杂志, 2012, 14(12): 753-756.
CHEN Zhen-guo,CHEN Jia-wei,LIN Si-si,ZHONG Hong-liang,ZHANG Jia-yu,TIAN Pei. Changes in contrast sensitivity and glare sensitivity after intensive glucose control with insulin in diabetic patients . Chinese Journal of Optometry Ophthalmology and Visual science, 2012, 14(12): 753-756. DOI: 10.3760/cma.j.issn.1674-845X.2012.12.014