糖尿病白内障囊外摘除联合后房型人工晶状体植入术临床观察

目的观察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临床疗效及并发症。方法对63例（63只眼）糖尿病白内障患者施行白内障囊外摘除联合人工晶状体植入术（ECCE＋IOL）,并以63例（63只眼）非糖尿病白内障患者施行相同术式白内障摘除联合后房型人工晶状体植入术作为对照。结果糖尿病患者术后并发症为：角膜内皮水肿19只眼（占30.1%）,前房纤维渗出10只眼（占15.8%）,瞳孔后粘连14只眼（占22.2%）,后囊混蚀26只眼（占41.2%）,色素弥散晶状体表面1只眼（占1.6%）。糖尿病患者明显高于非糖尿病患者。术后视力糖尿病与非糖尿病无明显差异,糖尿病患者术后矫正视力≥0.5%者为39只眼（占61.9%）,≥0.3者为52只眼（占82.5%）。结论糖尿病白内障患者术前应将血糖控制稳定在5.1～8.0 mmol/L之间,施行白内障囊外摘除联合后房型人工晶状体植入,疗效满意,并发症少。

Cataract extraction and intraocular lens implantation for the diabetic cataract

Objective To investigate the outcomes and complications of cataract extraction and capsular intraocular lens inplantation（ECCE＋IOL） in diabetic cataract patients.Methods ECCE＋IOL surgery was carried out in 63 individuals（63 eyes）with diabetic cataract.Results The most common complications reported were：corneal edema 19 eyes（30.1%）significant fibrous exu-dation in the anterior chamber 10 eyes（15.8%）.Posterior capsule opacity 26 eyes（41.2%）.Posterior capsule rupture 1 eyes（1.6%）.61.9% had a postoperative visual acuity better than 0.5、82.5% had better than 0.3.Conclusion ECCE＋IOL is an affective and safe surgery with limited complications for individuals with diabetic cataract if their blood sugar is contralled well.