당뇨망막병증 최신 지견
New Modalities for the Diagnosis and Treatment of Diabetic Retinopathy
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초록
당뇨망막병증은 당뇨병성 만성합병증 중 하나로 전 세계적으로 중요 실명 원인 중 하나이다[1,2]. 최근 당뇨망막병증의 진단 분야에서는 무산동 광각 안저 촬영(nonmydriatic ultra wide field fundus photography)과 스펙트럼 영역 빛간섭단층촬영(spectral domain optical coherence tomography)이 보편화되고, 치료에서 여러 가지 항혈관내피세포 성장인자들(vascular endothelial growth factor)의 유리체강 내 주사가 광범위하게 사용되고 있다. 또한 역학에서도 제5기 국민건강영양역학조사결과가 발표되면서 당뇨망막병증의 역학에 대한 최신 결과들이 발표되었다[3]. 이에 당뇨망막병증의 역학, 진단, 그리고 치료에 대한 최신 자료들을 소개하고자 한다.
Abstract
Over the past decade, significant advances have been made in both the diagnosis and treatment of diabetic retinopathy. Ultrawide field fundus photography and spectral domain optical coherence tomography have allowed more accurate, convenient, and early diagnosis of diabetic retinopathy. Numerous randomized clinical trials have demonstrated the effectiveness of anti-vascular endothelial growth factor agents for the treatment of diabetic retinopathy, although more work is necessary in terms of long-term clinical outcomes and socioeconomic costs associated with these treatments.
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