糖尿病患者白内障手术中前房注射曲安奈德临床观察

目的:观察糖尿病患者白内障术中前房注射曲安奈德的效果和安全性。方法:86例112眼糖尿病白内障患者被随机分为:使用曲安奈德前房注射的研究组42例56眼和不使用曲安奈德前房注射的常规处理对照组44例56眼,观察主要的术后并发症。结果:在研究组中,角膜水肿、前房纤维素性渗出、瞳孔粘连、眼压升高的发生分别为6眼(10.7%)、2眼(3.6%)、0眼、2眼(3.6%)。对照组中,角膜水肿、前房纤维素性渗出、瞳孔粘连、眼压升高的发生分别为15眼(26.8%)、8眼(14.3%)、4眼(7.1%)、9眼(16.1%)。两组比较,差异具有统计学意义。结论:糖尿病患者术中前房注射曲安奈德控制术后并发症是安全、有效的的方法。

Clinical study of intracameral injection of triamcinolone acetonide in cataract surgery of patients with diabetes mellitus

AIM:To observe the efficiency and safety of intracameral injection of triamcinolone acetonide in cataract surgery of patients with diabetes mellitus.·METHODS:Eighty-six cases(112 eyes) with cataract and diabetes mellitus were divided into two groups at random:42 cases(56 eyes) in the study group were performed operation with intracameral injection of triamcinolone.44 cases(56 eyes) were performed the same operation without intracameral injection triamcinolone.The major postoperative complications were observed.·RESULTS:In the study group,cornea edema was found in 6 eyes(10.7%),fibrous exudation in the anterior chamber in 2 eyes(3.6%).No iris posterior synechiae happened and intraocular pressure rised in 2 eyes(3.6%).In the control group,cornea edema was found in 15 eyes(26.8%),fibrous exudation in the anterior chamber in 8 eyes(14.3%),iris posterior synechiae in 4 eyes(7.1%) and intraocular pressure rised in 9 eyes(16.1%).The difference of the major complications had statistical significance between the study group and the control group.·CONCLUSION:Intracameral injection of triamcinolone acetonide in cataract surgery of patients with diabetes mellitus is an effective and safe way to reduce the postoperative complications.