2型糖尿病患者白内障手术不同术式观察

Investigation of cataract patients with T 2DM after PHACO and ECCE

目的观察2型糖尿病患者白内障超声乳化手术(PHACO)联合人工晶体植入术和现代囊外摘除术(ECCE)联合人工晶体植入术的不同。方法A组:2型糖尿病白内障患者30例35眼行PHACO,B组:2型糖尿病白内障患者行ECCE联合人工晶体植入术的患者30例32眼,比较两组术后视力及术后反应,进行分析。结果(1)术后视力:术后反应消退后视力≥0.5者A组30眼,B组19眼,两组比较差异显著意义(P<0.05);(2)术后反应:房闪()以上,瞳孔区纤维素渗出或晶体表面色素沉着,A组3眼,B组10眼。两组比较差异显著意义(P<0.05)。结论2型糖尿病白内障患者行PHCAO手术较行ECCE术后反应小,视力恢复好。

Objective To compare PHACO+IOL and ECCE+IOL on cataract patients with T 2DM.Methods 60 cases(67 eyes) of cataract patients with NIDDM were treated with PHACO (35 eyes of 30 cases) or ECCE(32 eyes of 30 cases).PC-IOL was implanted in both groups . Result After the postoperative inflammation disappeared ,the number of the eyes with visual acutiy≥0.5 was 30 in PHACO group ,and 19 in ECCE group .The deference was significant(P<0.05) .Postoperrative inflammation in ECCE group was 7 than that in PHACO group (P<0.05).Conclusion PHACO is better than ECCE for treatment of cataract in T 2DM.