糖尿病患者白内障摘除联合人工晶状体植入术疗效观察

Efficiency of extracapsular cataract extraction plus implantation of artificial lens for the treatment of patients with diabetes mellitus and cataract

目的:探讨糖尿病患者白内障摘出联合人工晶状体植入术的临床疗效。方法:对87例104眼糖尿病合并白内障患者施行白内障超声乳化吸除(Phaco)和非超声乳化小切口白内障摘出术(SICS)联合人工晶状体植入术,对术后视力及并发症进行分析。结果:未发生后囊膜破裂、眼内出血、眼内炎等严重并发症。角膜水肿较重者6眼,用药后恢复透明。结论:Phaco和SICS联合人工晶状体植入术是使糖尿病白内障患者复明的主要手段,手术疗效确切。

AIM：To evaluate the clinical efficiency of extracapsular cataract extraction plus implantation of artificial lens for the treatment of patients with diabetes mellitus （DM） and cataract. METHODS：Eighty-seven （104 eyes） DM patients received phacoemulsification （Phaco） and small-incision cataract surgery （SICS） plus implantation of artificial lens. Best-corrected visual acuity and complications were observed. RESULTS：No posterior capsule rupture, intraocular hemorrhage and endophthalmitis were noted. Six patients were observed with severe corneal edema, and recovered after drug administration. CONCLUSION：Phaco and SICS plus implantation of artificial lens are efficient for the treatment of DM patients with cataract.