糖尿病患者的后房型人工晶体植入术

Posterior cbamber intraocular lens implautation in diabetics

为了提高糖尿病性视网膜病变患者的视力，对３８例有或无非增殖型视网膜病的糖尿病患者和３８例非糖尿病患者，共７６例９３只眼行白内障囊外摘除联合后房型人工晶体植入术。结果表明两组的术中、术后并发症的发生率差异无显著性。术后矫正视力达０．５以上者：糖尿病患者４７只眼中有２６只眼（５５．３％），非糖尿病患者４６只眼中有３０只眼（６５．２％），差异也无显著性（Ｐ＞０．０５）。观察结果提示对此类患者术后必须密切随访，注意眼底病变及进展情况，以便及时治疗可能发生的术后并发症。

eyes having undergone extracapsular cataract extraction with posterior chamber intraocular lens implantation were evaluated prospectively. There were two groups of patients,including 38 diabetics with or without nonproliferative retinopathy and 38 nondiabetics. The comparison between the two groups demonstrated that there was no significant difference in intra-operative or postoperative complications.The post-operative corrected visual acuities of 0. 5 or better were achieved in 26 of 47(55.3%)of diabetic eyes and in 30 of 46(65.2%)of nondiabetic eyes(P>0.05). Based on this study,it is considered that nonproliferative diabetic retinopathy is not a contraindication of intraocular lens implantation. However, post-operatively, diabetic patients should be followed more closely and if any post-operative complication does occur, it should be treated promptly.