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NR. 2/2007
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Patofizjologia
retinopatii cukrzycowej jako podstawa i postulat planowej,
„łączonej” opieki diabetologiczno-okulistycznej – czego okulista
powinien oczekiwać od diabetologa?
Diabetic Retinopathy Patophysiology as the Basis and Stipulation
of the Planned “Shared” Diabetological-Ophthalmological Care –
What the Ophthalmologist Should Expect from Diabetologist?
Jan Tatoń
Katedra i Klinika Chorób Wewnętrznych i Diabetologii Akademii
Medycznej w Warszawie, II Wydział Lekarski
Kierownik: prof. dr hab. n. med. Anna Czech |
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| Summary: |
Abnormalities in the
ocular organ caused by diabetes mellitus have different
character. In majority they are related to diabetic
angiopathy. Their pathogenetic mechanisms embrace the
phenomena, which can not be influenced by therapy like
genetics, time course, sex and factors which could be
limited by therapeutic intervention of general (diabetological)
character and local (ophthalmological) approach. They
are: metabolism control, blood pressure, microvessel
hemodynamics, endothelial function, coagulation changes.
Therapy of these general, pathogenetic disturbances
contributing to the appearance of the vascular
degenerative symptoms in the retina and in the eye
should be programmed as the holistic, “shared”
diabetological-ophthalmologic care. |
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| Key words: |
pathophynology of diabetic
retinopathy, genetic, metabolic, hemodynamic,
endothelial factors and treatment of diabetic
retinopathy, programmed diabetological-ophthalmological
care. |
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