糖尿病白内障摘除人工晶状体植入疗效观察

Cataract extraction and intraocular lens implantation for the diabetic cataract

目的 探讨糖尿病患者白内障手术摘除联合后房型人工晶状体植入术的疗效及并发症。方法 对 95例 (12 0只眼 )糖尿病白内障患者施行 ECCE+IOL植入术。结果 术后视力≥ 0 .5者 ,占 6 3.3% ;≥ 0 .3者占88.3%。并发症主要包括 :角膜内皮水肿 4 8只眼 ,占 4 0 % ;前房纤维素性渗出膜 14只眼 ,占 11.7% ;后囊混浊 6只眼 ,占 5 % ;晶状体后囊破裂 3只眼 ,占 2 .5 %。结论 对糖尿病患者血糖控制稳定的情况下施行 ECCE+IOL植入术 ,疗效满意 。

Objective To investigate the outcomes and complications of cataract extraction and capsular intraocular lens implantation(ECCE+IOL) in diabetic cataract patients.Methods ECCE+IOL surgery was carried out in 95 individuals(120 eyes) with diabetic cataract.Results 63.3% had a postoperative visual acuity better than 0.5?88.3% had better than 0.3.The most common complications reported were:corneal edema 48 eyes significant fibrous exudation in the anterior chamber 14 eyes(11.7%).Posterior capsule opacity 6 eyes(5%).Posterior capsule rupture 3 eyes(2.5%).Conclusion ECCE+IOL is an affective and safe surgery with limited complications for individuals with diabetic cataract if their blood sugar is contralled well.