高度近视糖尿病患者白内障术中前房维持方法的探讨

目的探讨高度近视糖尿病患者白内障术中维持正常前房深度的安全有效方法。方法回顾性地比较了高度近视糖尿病患者白内障术中维持前房深度的3种方法的有效性及其对术中操作的影响。其中将通过降低灌注瓶高度解决前房深度的患者分为A组，通过扩大侧切口解决前房深度的患者分为B组，将通过缓解反向瞳孔阻滞来解决前房深度的患者分为C组。结果C组方法较另外2种方法能更安全有效地维持术中正常的前房深度。结论合并糖尿病的高度近视患者白内障术中解除反向瞳孔阻滞对前房深度的维持非常重要。

Discussion of maintain normal anterior chamber depth during cataract surgery in high myopia patients combined with diabetic

Objective To discuss how to maintain normal anterior chamber depth during cataract surgery in high myopia patients combined with diabetic. Methods The efficiency of different methods to maintain normal anterior chamber depth during cataract surgery in high myopia patients combined with diabetic was retrospectively compared. We maintained anterior chamber depth by decreasing the height of infusion bottle in group A, by expending the side incision in group B,and by remission the reserve papillary block in group C. Results The methods used in group C was more effective than the other two methods. Conclusion It is very important to relieve the reserve papillary block to maintain the anterior chamber depth during the operation in high myopia patients combined with diabetic.