摘要
目的应用光学相干断层扫描仪(CirrusHD-OCT)测量黄斑区视网膜的厚度,观察不同程度的非增生期糖尿病视网膜病变(NPDR)白内障行超声乳化吸出术后短时期内黄斑区视网膜的改变。方法回顾性分析2010年6月至2011年6月行晶状体超声乳化吸出的糖尿病患者80例(80眼)。其中A组为无糖尿病视网膜病变组,B组为轻度NPDR组(眼底检查仅有微动脉瘤),C组为中度NPDR组(微动脉瘤,轻于重度NPDR),D组为重度NPDR组(无PDR表现,可出现以下任一表现:①任一象限有多于20处视网膜内出血;②〉2个象限静脉串珠样改变;③〉1个象限显著的视网膜微血管异常)。比较术前A、B、C、D4组术前、术后1周及1个月黄斑区厚度及视力改善、黄斑水肿的发生情况。结论白内障术后黄斑区视网膜厚度增加;糖尿病是促进其发展的危险因素;NPDR白内障术后黄斑区视网膜厚度增加无显著性差异,且术后视力改善亦无明显差别。
Objective With application of optical coherence tomography (Cirrus HD-OCT) for maeular retinal thickness measurement, to discuss macular retinal changes of different levels of nonprolifera- tive diabetic retinopathy (NPDR) patients after phacoemulsification. Methods A retrospective analysis of phacoemulsification in 80 eyes of 80 patients with diabetes from June 2010 to June 2011 in our hospital was done, in which group A was non-diabetic retinopathy group, group B with mild NPDR group ( only micro-an- eurysms in fundus examination) patients, group C with moderate NPDR group (micro-aneurysms, lighter than severe NPDR) patients, group D of severe NPDR group (non-PDR performance, the performance of any of the following may occur: 1. any quadrant more than 20 retinal hemorrhage; 2. 〉 2 quadrants venous change beaded; 3. 〉 1 quadrant of retinal microvascular abnormalities significantly). Comparison of maeular thickness, visual acuity, the incidence of macular edema in A, B, C, D groups before and 1 week and 1 month alter surgery was done. Conclusion Macular retinal thickness increased after phacoemusification. Diabetes is a risk factor for its development. There was no difference in macular retinal thickness change or in postoperative visual acuity after cataract surgery in patients with NPDR.
出处
《中华眼外伤职业眼病杂志》
2012年第7期494-497,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease