糖尿病对行白内障超声乳化及折叠型人工晶体植入术患者术后视力的影响

Effect of diabetes mellitus on postoperative visual acuity of patients with phacoemulsification and intraocular lens implantation

目的:探讨糖尿病对行白内障超声乳化及折叠型人工状体植入术患者的术后视力影响。方法:选取糖尿病性白内障患者62例(65眼)作为研究组,非糖尿病性白内障患者58例(60眼)作为对照组。两组患者均采取白内障超声乳化及折叠型人工晶体植入术治疗,观察记录两组患者术后1个月视力(矫正视力),以及并发症发生率、不同分级角膜水肿消退时间,并进行统计学分析。结果:研究组患者术后1个月测评视力显示,视力≥0.5者比例显著低于对照组(P<0.05);研究组在术后各类并发症发生率上均高于对照组,但仅有纤维素渗出、前房积血及后囊混浊发生率比较有统计学意义(P<0.05);研究组不同分级角膜消退时间稍长于同等级对照组,但比较无统计学意义(P>0.05)。结论:糖尿病性白内障患者实施白内障超声乳化及折叠型人工晶体植入术治疗可改善术后视力,但相比非糖尿病而言效果要稍差,可见糖尿病会影响术后视力恢复,需加强重视。

Objective： To discuss the effect of diabetes mellitus on postoperative visual acuity with cataract phacoemulsification and intraocular lens implantation. Methods： according to the random sampling method,62 cases（ 65 eyes） of diabetic cataract patients from March 2013 to March 2015 in our hospital were selected as the study group,and in the same period of non diabetic cataract patients with 58 cases（ 60 eyes） as control group. The patients of two groups were taken phacoemulsification and intraocular lens implantation for the treatment,observe and record the two groups of patients with postoperative 1 month vision（ vision correction）,and complications occurred rate,different grades of corneal edema,and make statistical analysis. Results： The patients of the experimental group after 1 month assessment vision display,visual acuity 0. 5 percentage was significantly lower than that of control group（ P〈0. 05）;postoperative various complications occurred rate in the study group was higher than that in control group,but only fibrinous exudation,anterior chamber hematocele and posterior capsular opacification incidence compared with statistical significance（ P〈0. 05）; the corneal ablation time of different grades in the study group slightly longer than control group at the same level,but had no statistical significance（ P〉0. 05）. Conclusion： Patients with diabetic cataract implementation of cataract phacoemulsification and intraocular lens implantation can improve postoperative visual acuity,but compared with non diabetic,the effect was slightly worse,so diabetes has an affect on the postoperative visual acuity,attention should be strengthened.