糖尿病患者白内障不同手术方式的临床观察

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1、糖尿病患者白内障不同手术方式的临床观察[摘要]目的探讨白内障超声乳化吸出术+人工晶体植入术与白内障囊外摘除术+人工晶体植入术治疗糖尿病患者合并白内障的临床疗效。方法观察73例(81眼)糖尿病合并白内障患者，1组37例(42眼)行白内障超声乳化吸出术+人工晶体植入术,2组36例(39眼)行白内障囊外摘除术+人工晶体植入术。术后分别检查1d和1w视力，术后1d分别统计手术并发症眼数，包括角膜水肿、前房闪辉和黄斑水肿。结果术后1d视力1组＜0.1、0.1~、＞0.5的眼数分别为4眼、32眼、6眼，2组分别为6眼、30眼、3眼。术后1w视力1组＜0.1、0.1~、＞0.5的眼数分别为2

2、眼、26眼、14眼，2组分别为4眼、23眼、12眼。术后并发症：分别比较两组发生角膜水肿、前房闪辉程度和黄斑水肿的眼数，术式1组三项并发症的发生少于术式2组。结论糖尿病者白内障用超声乳化治疗是一种疗效确切的手术，术后并发症较白内障囊外摘除术少，但其术后效果还与患者糖尿病病变程度与晶体核的分级有关。[关键词]白内障；糖尿病；超声乳化吸出术[Abstract]0bjectiveToevaluatethetherapeuticeffectsandsafetyofphacoemulsificationintraocularlensimplantation,andextracapsula

3、rcataractextractionintreatmentofdiabetes9patientcombinedwithcataract.MethodsSeventy-threecases(81eyes)diabetespatientcombinedwithcataractinourhospitalwerereviewedandthecasesdivededinto2groups.Group1wasthetechniquesincludedphacoemulsificationintraocularlensimplantation.Group2wasthetechniqueso

4、fextracapsularcataractextraction.Follow-upwasperformedupto1weekaftersurgerytopartstatisticsbest-correctedvisualacuityat1dand1w,andthecomplicationsincludecornealedema,anteriorchamberflare,macularedemaat1wpostoperatively.ResultsTheeyesofvisualacuitywere＜0.1、0.1~0.5、＞0.5respectivelyat1dayafters

5、urgerywere4eyes,32eyes,6eyesingroup1and6eyes,30eyes,3eyesingroup2.Theeyesofvisualacuitywere＜0.1、0.1~0.5、＞0.5respectivelyat1weekaftersurgerywere2eyes,26eyes,14eyesingroup1and4eyes,23eyes,12eyesingroup2.Comparedwiththecomplicationsofgroup1andgroup2aftersurgeryincludingcornealedema,anteriorcham

6、berflare,macularedema.Thesecomplicationsofgroup1lessthangroup2.Conclusionphacoemulsificationintraocularlens9implantationisasafeandeffectivesurgeryintreatmentofdiabetespatientcombinedwithcataract.Thecomplicationsaftersurgeryofitlessthanthatofextracapsularcataractextraction.Butthepostoperative

7、effectarerelatedtodiabetesprocessextentandthedegreeoflensnucleus.[Keywords]cataractdiabetesphacoemulsification随着我国糖尿病患者逐渐增多，白内障患者中合并糖尿病的比例也随之增加。对于糖尿病(DM)患者的全身及局部特定情况，要求白内障手术更加安全，对糖尿病患者合并白内障施行超声乳化联合人工晶状体植入是目前选用的常规手术之一，然而糖尿病患者白内障手术方式如何选择，仍需要临床进一步观察。1