糖尿病患者白内障超声乳化联合人工晶体植入术的临床疗效

Clinical Effect of Phacoemulsification Combined with Intraocular Lens Implantation in the Cataract Patients with Diabetes

【目的】观察糖尿病患者行白内障超声乳化吸出联合人工晶体植入术的临床效果。【方法】对526例745眼糖尿病患者行白内障手术并对术后患者的视力及并发症进行分析,同时选取同时期、同一手术医师施行的非糖尿病白内障手术患者做对照。【结果】糖尿病患者术后1周矫正视力与非糖尿病患者相比差异无显著性(P>0.05),<0.5者301眼,均为黄斑囊样水肿、糖尿病性视网膜病变所致。糖尿病患者术前瞳孔不能充分散大或术中瞳孔缩小、瞳孔缘损伤和术后角膜水肿、黄斑水肿的病例明显多于非糖尿病患者,两组相比差异有显著性。【结论】糖尿病患者行白内障超声乳化吸出联合人工晶体植入术安全有效,可明显改善视力,并为糖尿病视网膜病变的荧光血管造影和激光治疗提供了条件。糖尿病性视网膜病变黄斑囊样水肿是影响术后视力的主要因素。

[Objeetive]To analyze the clinical effect of phacoemulsification combined with intraocular lens implantation in the cataract patients with diabetes. [Methods]Five hundred and twenty-six cases（745eyes）of post-operative patients＇ vision and complications were analyzed. The cataract patients without diabetes with the same age and sex who were operated by the same doctor in the same period were designed as control group. [Results]One week after surgery,there was no significant difference in post-operative vision between diabetes group and no diabetes group. Three hundred and one eyes had best corrected visual acuity〈0. 5 in diabetes group caused by diabetic retinopathy, cystoid macular edema. The diabetes group had obviously more complications such as pupil dilated not enough before operation,pupil contraction and iris bite during operating and corneal edema and cystoid macular edema after operation. [Conclusion]The visual acuity can be raised obviously after the phacoemulsification combined with intraocular lens implantation in diabetic patients. The operation is safe and supplies basis for the fluorescence angiography and laser treatment of diabetic retinal disease. The complications mainly affect the visual acuity after surgery including diabetic retinopathy, cystoid macular edema.