2型糖尿病患者行白内障手术后黄斑水肿状况研究  

Study on macular edema after cataract surgery in patients with type-2 diabetes

作　　者：郭媛[1] 张杰[1] 张春刚[1] 

机构地区：[1]包头市第四医院眼科,内蒙古014030

出　　处：《中华临床医师杂志（电子版）》2015年第14期35-37,共3页Chinese Journal of Clinicians(Electronic Edition)

基　　金：国家自然科学基金(81041103)

摘　　要：目的研究2型糖尿病患者行白内障手术后黄斑水肿状况。方法择取在该院接受治疗糖尿病眼底病变的100例(102眼)和同期非糖尿病眼底病变的100例患者(104眼)作为对照组,采用相同的手术及术后护理。分别于术前、术后1周、6周和6个月对所有患者进行视力和眼底检查,于术前和术后6周进行荧光素血管造影(FFA),记录两组的黄斑水肿和视力恢复情况。结果糖尿病组黄斑中心凹度显著大于对照组,术后6周的FFA糖尿病黄斑水肿发生率高于对照组。术后对照组的矫正视力明显优于糖尿病组。结论糖尿病患者在白内障手术后患黄斑水肿的人数多于对照组,术后患者视力的恢复也不及对照组。Objective To study the macular edema （ME） after cataract surgery in patients with type-2 diabetes. Methods 100 patients with type-2 diabetes as diabetes group and 100 patients without diabetes as controls were enrolled, using the same surgery and postoperative nursing to all the patients. Visual acuity and fundus were examined pre-operation and at postoperative 1 week, 6 weeks and 6 months. Visual recovery and postoperative ME were observed in all the patients. Fluorescein fundus angiography （FFA） were performed to all the patients pre-operation and at postoperative 6 weeks. Results The concavity of macular center and incidence of postoperative macular edema in diabetes group were significantly greater in than the control group. The corrected visual acuity in control group were significantly better than that in control group of diabetic group. Conclusion Incidence of postoperative macular edema in diabetes group were significantly greater than the control group, the recovery of visual acuity in control were better than diabetes group.

关 键 词：黄斑水肿 白内障手术 糖尿病 荧光素血管造影术 

分 类 号：R587.2[医药卫生—内分泌] R779.6[医药卫生—内科学]