糖尿病患者超声乳化白内障吸除手术的临床观察

目的:探讨糖尿病患者进行超声乳化白内障吸除联合人工晶状体植入手术的临床效果。方法:50例(61只眼)糖尿病患者(设为A组)和同期163例(174只眼)血糖正常患者(设为B组)接受超声乳化白内障吸除联合人工晶状体植入手术。糖尿病患者手术前通过饮食疗法、口服药物或肌注胰岛素治疗,使空腹血糖降到 10mmol/L以下。术后随访 1～28个月(平均 8.6个月),复查视力、裂隙灯及眼底检查。结果:术后矫正视力≥0.5者,A组为77.1%;B组为80.5%。两组经统计学处理差异无显著性(P>0.05)。两组术中出现后囊破裂及术后发生角膜水肿和前房渗出等并发症的差异无显著性(P>0.05 )。结论:糖尿病患者进行超声乳化白内障吸除手术前只要有效控制血糖,其手术效果与对照组患者相同。但术后血糖的控制仍然十分重要。眼科学报2003;19:98-100。

Clinical Studies of Phacoemulsification Combined with Intraocular Lens Implantation in Diabetics

Purpose: To investigate the clinical results of phacoemulsification combined with intraocular lens implantation in diabetics. Methods: All patients were divided into two groups,which there were 50 cases (61eyes) with diabetics in the group A and 163 cases (174 eyes) without diabetics in the group B.All cases were treated with phacoemulsification combined with intraocular lens implantation.The level of the fasting blood-glucose in the diabetics must be controlled under 10 mmol/L by the dietotherapy, oral antihyperglycemic or insulin therapy before operation.The follow-up period was 1-28 months, average 8.6 months. Results: The post-operative corrected visual acuities of 0.5 or better were achieved in 47 of 61 (77.1%)eyes in group A and in 140 of 174 (80.5%)eyes in group B,it was statistically no significant difference between the two groups (P>0.05).The comparison between the two groups showed that there was no significant difference in the intra-op-erative or post-operative complications (P>0.05). Conclusions: As long as the level of the blood surgar was controlled effectively, the treatment of phacoemulsification in diabetics was safe and effective as same as the patients without diabetics.lt is very important to control the level of the blood sugar for maintaining the post-operative effect. Eye Science 2003; 19:98-100.