2555

26,300








(diabetic retinopathy) 31.4
2

2555


l 1

l 8

l 14

l 20


Abbreviation Key:
DME Diabetic macular edema
DR Diabetes retinopathy
FC finger count, counting finger
HM hand movement, hand motion
IRMA Intraretinal microvascular abnormalities
KM Knowledge management
LE VA Left eye visual acuity
NPDR Non-Proliferative DR
NVD New vessels on the disc
NVE new vessels elsewhere
PDR Proliferative DR
PH Pin hole
RE VA Right eye visual acuity



20

1 5
2


1

1

 1.

1 2

12
5

Diabetes retinopathy (DR) Macular edema

Non-proliferative DR Proliferative DR
(NPDR) (PDR)

- Neovascularization
Mild NPDR Moderate NPDR Severe NPDR (New vessels on the
- Microaneurism - More than - 20 or more disc, NVD or new
mild but less microaneurysm in vessels elsewhere in
than severe 4 quadrants or the retina,. NVE) or
- Venous beading at - Preretinal hemorrhage
least 2 quadrants or or
- Intraretinal - Vitreous hemorrhage
microvascular
abnormalities (IRMA)
in 1 or more quadromt

1 6 3-6
3





1000




.. 2551 2

150-200

4 5

 2.

6 7


( 3)
1. 4.




( 4)


2.





(
)

3.

8 9

 3.

10 11

 4.

12 13



14
5
5.

. ./
PCU

15
 6.

16 17

 6. ()

18 19

 fluorescein angiography
1
1.
1. (Laser photocoagulation)
Severity of Retinopathy
HbA1C
2. (Cryoretinopexy)
7% <130/80 . () 3. (Intravitreal injection)
FBS
70-130 ./.

4. (Vitreoretinal surgery)
1. 3 3 3 - 12
3 3 3

2. Mild NPDR - 6-12

3. Moderate NPDR 3 3 3 - 3-6
3. Severe NPDR 3 3 3 3 2-4*

4. PDR 3 3 3 3 2-4*
5. Macular edema 3 3 3 3 2-4*

2
*

20 21

 22
2.


1)
Diabetic retinopathy
2) Diabetic retinopathy

Fundus
l Non-proliferative

camera 1
diabetic retinopathy
(NPDR) (
mild NPR, moderate
NPDR, severe NPDR)
l Proliferative diabetic retinopathy

(PDR)
3) microvascular

4) : :
Diabetic retinopathy
1 x 100 1 x 100
: :
1 1
5) 1 1
6)


7) 1 1

8)

23


24