糖尿病患者白内障摘除联合后房型人工晶体植入并发症的处理 |
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引用本文: | 吕慧验,成永海,纪付华.糖尿病患者白内障摘除联合后房型人工晶体植入并发症的处理[J].山东医大基础医学院学报,2004,18(1):47-48. |
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作者姓名: | 吕慧验 成永海 纪付华 |
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作者单位: | 日照市东港医院 山东日照276800
(吕慧验,成永海),日照市东港医院 山东日照276800(纪付华) |
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摘 要: | 目的:探讨糖尿病患者白内障囊外摘除联合后房型人工晶体植入术的并发症形成原因和防治措施。方法:对61例、66眼糖尿病白内障患者施行ECCE,IOL植入术。结果:术中并发症有瞳孔缩小43眼(68.3%),后囊膜破裂6眼(9.1%);术后并发症有角膜水肿36眼(54.5%),色素播散30眼(45.5%),纤堆素样渗出12眼(18.2%),虹膜后黏连9眼(13.6%),黄斑囊样水肿8眼(12.1%),虹膜红变5眼(7.6%)。结论:在血糖控制稳定的情况下,对糖尿病患者施行ECCE,IOL术,疗效满意。
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关 键 词: | 糖尿病 白内障摘除 后房型人工晶体植入 并发症 处理 |
Complications of posterior chamber intraocular lens implantation in diabetic cataract |
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Abstract: | Objective:To explore the causes and prevention of the complications after posterior chamber intraocular lens(IOL) implantation in diabetic cataract. Method:Extracapcular cataract extraction (ECCE)and IOL implantation were carried out in 66 eyes of 61 cases with diabetic cataract.Results:There were complications of contraction of pupil in 48 eyes(68.3%) and posterior capsule rupture in 6 eyes(9.1%) in the operation. There were complications of corneal edema in 36 eyes(54.5%),pigment dispersion in 30 eyes(45.5%),significant fibrous exudation in the anterior chamber in 12 eyes(18.2%),posterior synechia in 9 eyes(13.6%),cystic degeneration of macular in 8 eyes(12.1%),and iris rubeosis in 5 eyes(7.6%) after operation.Conclusion: ECCE+IOL implantation is an effect and safe surgery for individuals with diabetic cataract whose blood sugar has been controlled well. |
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Keywords: | Diabetes mellitus Cataract Lenses intraocular Complications |
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