2型糖尿病患者白内障术后后囊混浊的临床研究  

Posterior capsular opacification after phacoemulsification in cataract with type 2 diabetes mellitus

作　　者：柯敏[1] 李玉红[1] 陈贵芹[1] 

机构地区：[1]武汉大学附属中南医院眼科,武汉430071

出　　处：《临床眼科杂志》2006年第4期327-329,共3页Journal of Clinical Ophthalmology

摘　　要：目的 比较合并2型糖尿病的老年性白内障患者与单纯老年性白内障患者行超声乳化白内障摘除人工晶状体植入术后后囊膜混浊情况。方法 2001年3月至2003年3月于我院行超声乳化白内障摘除人工晶状体植入术162例（145只眼）。其中，合并2型糖尿病的老年性白内障患者80例（120只眼）为A组；单纯老年性白内障患者82例（125只眼）为B组。随访时间3～36个月，比较两组后囊膜混浊发生率、后囊膜混浊程度及YAG激光后囊切开百分率。结果 A组、B组后囊膜混浊百分率分别为50．00％、26．04％；YAG激光后囊切开百分率分别为20．00％、6．04％，两种百分率差异均有显著性（P〈0．01）。两组后囊膜混浊程度分级后行秩和检验差异有显著性（P〈0．01）。结论 2型糖尿病是影响白内障术后后囊膜混浊的重要因素。Objective To determine the difference of posterior capsular opacification （PCO） Postropemtion of phacoemulsification with intraocular lens（IOL） implantation between cataract with type 2 diabetes mellitus and senile cataract. Methods One hundredand twenty eyes of 80 patients with type 2 diabetes mellitus and one hundredand twenty-five of 82 patients with senile cataract, who had phacoemulsification with IOL implantation from Match 2001 to Match 2003 were reviewed. Observed time was 3 - 36 months. To compare the difference inincidence and quantification of PCO, and the incidence of Nd：YAG laser capsulotomy between the two groups. Results PCO in cataract with diabetes mellitus and senile cataract was 50.00% ,26. 04% respectively. Nd： YAG laser capsulotomy was performed 20.00% ,6.04% respectively. The incidence of PCO and Nd：YAG laser capsulotomy were significant increased in cataract with diabetes mellitus in comparison to senile cataract（ P 〈0.01 ） ,mean while Wilcoxon rank sum test indicated that the degree of PCO was higher in cataract with diabetes mellitus than in senile cataract（ P 〈0. 01 ）. Conclusion Our data suggested that diabetes mellitus is involved in the pathogenesis of PCO.

关 键 词：2型糖尿病 白内障 后囊膜混浊 

分 类 号：R779.66[医药卫生—眼科] R587.1[医药卫生—临床医学]