V. ガイドライン | | II.危険因子 | | 6.身体条件 |
2)糖尿病 | |
エビデンス |
糖尿病が白内障発生と進行の重要な危険因子であることは知られている。
発生する白内障の型はさまざまである1,2,3,4,5)(IV)。
糖尿病の女性で発生リスクが高いとする報告がある6)(IV)。
糖尿病患者の白内障手術は健常集団に比べて死亡率が高いことは注意を要する7)(IV)。 | | | 1) | Miglior S, Marighi PE, Musicco M, Balestreri C, Nicolosi A, Orzalesi N: Risk factors for cortical, nuclear, posterior subcapsular and mixed cataract: a case-control study. Ophthalmic Epidemiol 1 (2): 93-105, 1994 | 2) | Leske MC, Chylack LT Jr, Wu SY: The Lens Opacities Case-Control Study. Risk factors for cataract. Arch Ophthalmol 109 (2): 244-251, 1991 | 3) | Schwab IR, Armstrong MA, Friedman GD, Wong IG, Carpentieri AC, Dawson CR: Cataract extraction. Risk factors in a health maintenance organization population under 60 years of age. Arch Ophthalmol 106 (8): 1062-1065, 1988 | 4) | Klein BE, Klein R, Lee KE: Diabetes, cardiovascular disease, selected cardiovascular disease risk factors, and the 5-year incidence of age-related cataract and progression of lens opacities: the Beaver Dam Eye Study. Am J Ophthalmol 126 (6): 782-790, 1998 | 5) | Hiller R, Sperduto RD, Ederer F: Epidemiologic associations with nuclear, cortical, and posterior subcapsular cataracts. Am J Epidemiol 124 (6): 916-925, 1986 | 6) | Harding JJ, Egerton M, van Heyningen R, Harding RS: Diabetes, glaucoma, sex, and cataract: analysis of combined data from two case control studies. Br J Ophthalmol 77 (1): 2-6, 1993 | 7) | Ninn-Pedersen K, Stenevi U: Cataract patients in a defined Swedish population 1986-90: VII Inpatient and outpatient standardised mortality ratios. Br J Ophthalmol 79 (12): 1115-1119, 1995 |
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