糖尿病患者白内障摘除人工晶体植入的疗效观察  

An investigation on therapeutic results of extracapsular cataract extraction and intraocular lens implantation in diabetics

作　　者：张少斌[1] 徐珊琪[1] 

机构地区：[1]汕头大学医学院第一附属医院眼科,515041

出　　处：《广东医学》1999年第2期92-93,共2页Guangdong Medical Journal

摘　　要：目的　探索糖尿病患者的白内障摘除及人工晶体植入术的疗效。方法　对 68例 (82眼 )糖尿病患者白内障和 68例 (78眼 )老年性白内障行晶体囊外摘除后房型人工晶体植入术 ,从术后视力、术后并发症进行比较。结果　术前没有或仅有轻微视网膜病变的糖尿病患者术后视力恢复与老年性白内障患者无明显差别(P >0 0 5 ) ;糖尿病患者术后眼前节炎症性反应明显增高 (P <0 0 1) ;术后发生糖尿病性视网膜病变进展者皆为血糖控制不良 ,血糖波动较大者 ,提示二者密切相关。结论　仅术前血糖高于正常水平并非是手术禁忌证 ,只要使术前空腹血糖稳定在与糖尿病病情相适宜的水平 3个月以上 ,对糖尿病患者施行白内障人工晶体手术是有效且安全可靠的。Objective To compare the results of extracapsular cataract extraction (ECCE) with intraocular lens implantation (IOL) in diabetes and cataract. Methods ECCE/with pc-IOL was performed in 68 cases(82 eyes) of diabetes and cataract and 69 cases (78 eyes) of senile cataract. Results The results showed that there was no significant difference in the post-operative visual acuity between diabetic group with or without simple diabetic retinopathy and senile cataract group ( P >0.05). Inflammatory reaction of anterior segment of eye obviously increaseed in the cases of diabetes after operation, the difference had significant( P <0.01). Diabetic retinopathy worsen after surgery were those with uncontrotled high glucohemia cases. So they might have close relationship between them. Conclusion The pre-operative hyperglycemia alone is not a contraindication of the operation. If the diabetes of patients with cataract can be controlled their glucose level in the blood remains normal and stable over three months, ECCE with IOL can be perfomed on such patients and the therapeutic results of the operation can be safe and reliable.

关 键 词：糖尿病 白内障摘除 人工晶体植入术 

分 类 号：R587.2[医药卫生—内分泌] R776.105[医药卫生—内科学]