糖尿病患者白内障不同手术方式的临床观察

目的探讨白内障超声乳化吸出术＋人工晶体植入术与白内障囊外摘除术＋人工晶体植入术治疗糖尿病患者合并白内障的临床疗效。方法观察73例（81眼）糖尿病合并白内障患者,A组37例（42眼）行白内障超声乳化吸出术＋人工晶体植入术,B组36例（39眼）行白内障囊外摘除术＋人工晶体植入术,术后分别检查1d和1周的视力。结果术后1d视力A组〈0.1、0.1-、〉0.5的眼数分别为4眼、32眼、6眼,B组分别为6眼、30眼、3眼;术后1周视力A组〈0.1、0.1-、〉0.5的眼数分别为2眼、26眼、14眼,B组分别为4眼、23眼、12眼。术后并发症发生角膜水肿、前房闪辉程度和黄斑水肿的眼数,术式A组3项并发症的发生少于术式B组。结论糖尿病者白内障用超声乳化治疗是一种疗效确切的手术,且术后并发症较白内障囊外摘除术少。

Clinical observation of different kinds of phacoemulsification intraocular lens implantation in diabetes patients with cataract

Objective To evaluate the therapeutic effects and safety of phacoemulsification intraocular lens implantation,and extracapsular cataract extraction in treatment of diabetes patients with cataract.Methods 73 cases（81 eyes） diabetes patients with cataract were reviewed and the cases divided into 2 groups.Group one was the techniques included phacoemulsification intraocular lens implantation.Group two was the techniques of extracapsular cataract extraction.Follow-up was performed up to one week after surgery to part statistics best-corrected visual acuity at 1d and 1w,and the complications include corneal edema,anterior chamber flare,and macular edema at 1w postoperatively.Results The visual acuity of eyes were 〈0.1,0.1-0.5,〉0.5 respectively at 1 day after surgery were respectively 4 eyes,32 eyes,6 eyes in group one and respectively 6 eyes,30 eyes,3 eyes in group two.The eyes of visual acuity were 〈0.1,0.1-0.5,〉0.5 respectively at 1 week after surgery were 2 eyes,26 eyes,14 eyes in group 1 and 4 eyes,23 eyes,12 eyes in group 2.Compared with the complications in group one and group two after surgery including corneal edema,anterior chamber flare,macular edema.These complications of group one was less than that in group two.Conclusion Phacoemulsification intraocular lens implantation is a safe and effective surgery in treatment of diabetes patients with cataract.The complications after surgery are less than that of extracapsular cataract extraction.But the postoperative effects are related to diabetes process extent and the degree of lens nucleus.