糖尿病患者白内障摘出人工晶状体植入

Extracapsular cataract extraction with intraocular lens implantation in cataract patients with diabetes.

目的 评价糖尿病患者白内障摘出人工晶状体植入术的效果。方法 对37例46眼施行现代白内障囊外摘出联合后房人工晶状体植入术的糖尿病患者的血糖水平、视力、并发症情况进行了回顾性分析。结果 糖尿病白内障患者,血糖控制在10.80mmol/L以下施行手术较为安全,无术中、术后严重并发症,术后观察4～43月,视力恢复较满意。术后视力取决于视网膜病变程度和黄斑是否受累。常见的术后并发症有角膜水肿、前房渗出、色素播散等。结论 糖尿病患者血糖控制在10.80mmol/L以下施行白内障囊外摘出及人工晶状体植入术是安全和有效的。

Objective To evaluate the therapeutic effect of cataract extraction with posterior chamber intraocular lens (IOL) implantation in cataract patients with diabetes. Methods A retrospective analysis was carried out on the condition of extracapsular cataract extraction (ECCE) with IOL implantation in 37 cases (46 eyes) with blood sugar,vision,complications in cataract patients with diabetes. Results To the cataract patients with diabetes,if blood sugar was less than 10.80 mmol/L,an operation is safety. The postoperative vision depend on degree of diabetic retinopathy and maculopathy. The common postoperative complications are cornea edema, exudation of anterior chamber, pigment diffuse, et al. Conclusion Suppose blood sugar is less than 10.80 mmol/L, ECCE with IOL implantation is an effective and safety technique for treatment of cataract patients with diabetes.