糖尿病患者白内障摘除人工晶体植入术的探讨

Study on Cataract Extraction and Artificial Lens Plantation in Patients with Diabetes

目的 :观察糖尿病患者白内障摘除人工晶体植入的疗效。方法 :对 17例 (2 0眼 )糖尿病患者血糖控制在安全范围后行白内障摘除人工晶体植入术 ,并将其结果与同期行此类手术随机抽取的 17例 (2 1眼 )非糖尿病患者进行比较。结果 :糖尿病患者术后矫正视力 0 5以上者 11眼 ,占 5 5 %。 0 1以上者 18眼 ,占 90 %。非糖尿病患者术后矫正视力 0 5以上者 12眼 ,占 5 7 1%。 0 1以上者 2 0眼占 95 2 %。差异无显著性 (P >0 .0 5 ) ,两组术中术后并发症的发生率差异亦无显著性 (P >0 .0 5 )。结论 :糖尿病患者血糖控制在安全范围内行白内障摘除人工晶体植入已不再为手术禁忌 ,相反 ,手术安全可靠 。

Objective:To study the curative effect of cataract extration and artificial lens plantation in patients with diabetes. Methods: 17 patients (20 eyes) with diabetes underwent cataract extraction and artificial lens plantation after successful controls of their blood glucose. The results were compared with those of the corresponding operations in 17 cases (21 eyes) of non diabetic patients. Results: In patients with diabetes,the visions increased 0.5 or more in 11 eyes (55%) and 0.1 or more in 18 eyes (90%) after the operations. In non diabetic patients,These numbers were 12 eyes (57.1%) and 20 eyes (95.2%) respectively. No significant difference was found between two groups ( P >0.05).The incidence of complications during and after operations showed no significant difference between two groups( P >0.05).Conclusion: cataract extraction and artificical lens plantation is no longer the contraindication in patients with diabetes when the blood glucose level is controled within a safe range,It is safe and effective for the recovery of the vision.