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Association between myopia and diabetic retinopathy: A review of observational findings and potential mechanisms

机译:近视与糖尿病性视网膜病变之间的关联:观察结果和潜在机制的审查

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摘要

A protective, but inconsistent association between myopia and a decreased risk of diabetic retinopathy (DR) has been suggested in several studies. However, it is unclear whether the structural, or the refractive components of myopia; or both, is the main contributor to this protective relationship. This paper provides a comprehensive review of existing evidence on the association between myopia, and its structural (axial length [AL], anterior chamber depth [ACD]) and refractive (lens biometry and corneal curvature [CC]) components, with DR. 11 studies consisting of 7230 subjects from 1960 to April 2012, were reviewed. A longer AL was the only variable associated with a lower risk and severity of DR. Therefore, the available evidence suggests that AL is the main contributor to the protective influence of myopia on DR observed in earlier studies. Further investigations are now needed to determine the mechanisms by which AL protects against DR.
机译:在几项研究中,近视与糖尿病性视网膜病(DR)风险降低之间存在保护性但不一致的关联。但是,目前尚不清楚近视是结构性的还是屈光性的。或两者兼有,是造成这种保护关系的主要因素。本文提供了有关近视及其与DR的结构(轴向长度[AL],前房深度[ACD])和屈光(镜片生物测定和角膜曲率[CC])之间的关联的现有证据的全面综述。回顾了1960年至2012年4月的11项研究,涉及7230名受试者。较长的AL是与DR的风险较低和严重程度相关的唯一变量。因此,现有证据表明,AL是早期研究中观察到的近视对DR的保护作用的主要贡献者。现在需要进一步研究以确定AL保护DR的机制。

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