糖尿病代谢性白内障患者超声乳化术后眼前节参数变化的评估  

Assessment on the influence of postoperative parameters in diabetic patients with metabolic cataract by phacoemulsification

作　　者：祝芸芸[1] 王恒[1] 蔡晓华[1] Zhu Yunyun;Wang Heng;Cai Xiaohua(Department of Ophthalmology,the Eigh^th Affiliated Hospital of Sun Yat-sen University,Shenzhen 518033,China)

机构地区：[1]中山大学附属第八医院眼科,深圳518033

出　　处：《临床眼科杂志》2018年第5期446-450,共5页Journal of Clinical Ophthalmology

基　　金：深圳市福田区卫生公益性科研项目(FTWS2016061)

摘　　要：目的观察糖尿病代谢性白内障患者超声乳化术后眼前节参数的变化。方法收集2015年12月至2017年5月期间在我院内进行超声乳化术或手法小切口白内障手术的90例(90只眼)糖尿病代谢性白内障患者的临床资料,根据手术方法分为观察组(超声乳化术)和对照组(手法小切口白内障手术),于术前、术后1个月和术后3个月,观察眼压(IOP)、前房深度(ACD)、前房容量(ACV)、前房角宽度(ACA)、瞳孔直径(PD)和视力,并对比术后并发症情况。结果术前,两组患者的IOP、ACD、PD、ACV、ACA等眼前节参数差异无统计学意义(P>0. 05);术后,两组患者的IOP、ACD、PD、ACV、ACA均得到改善,且观察组术后1个月和术后3个月的ACD、ACV、ACA均明显高于对照组的,IOP、PD低于对照组的,差异具有统计学意义(P <0. 05)。两组患者的视力均得到不同程度的改善,组间对比差异无统计学意义(P> 0. 05)。两组患者术后均出现后囊膜破裂、后囊膜混浊、角膜水肿、葡萄膜炎、虹膜损伤等术后并发症,观察组术后并发症总发生率为8. 89%,明显低于对照组的28. 89%,差异具有统计学意义(P <0. 05)。结论与手法小切口白内障术对比,超声乳化术治疗糖尿病代谢性白内障患者的效果较好,有效改善术后眼前节参数,降低患眼的IOP、PD,增加ACD、ACV、ACA,降低术后并发症,利于患者术后视力的较好地恢复。Objective To observe the effect of phacoemulsification on the changes of anterior segment parameters of patients with diabetic metabolic cataract. Methods clinical data of diabetic patients with metabolic cataract who underwent phacoemulsification or manual small incision cataract surgery were collected in my hospital from December 2015 and May 2017. According to operation method, they were divided into observation group （phacoemulsification） and control group （manual small incision cataract surgery）, intraocular pressure （IOP）, anterior chamber depth （ACD）, anterior chamber capacity （ACV, anterior chamber Angle width （ACA）, the pupil diameter （PD） and conventional vision were observed in the preoperative, postoperative 1 months and postoperative 3 months, and the postoperative complications were compared. Results Before operation, there were no significant differences in the parameters of IOP, ACD, PD, ACV, ACA, etc. between the two groups （ P 〉0.05）, After operation, IOP, ACD, PD, ACV, ACA of two groups improved, postoperative ACD, ACV, ACA in observation group were significantly higher than that of control group, postoperative IOP and PD were lower than that of control group, the differences were statistically significant （ P 〈0.05）. The visual acuity of both groups was improved, and the difference between groups was not statistically significant （ P 〉0.05）. Two groups appeared posterior capsular rupture in postoperative meningitis, posterior capsular opacity, corneal edema, pigment, iris damage, such as postoperative complications, the incidence of postoperative complications in observation group was 8.89%, which was significantly lower than the control group for 28.89% , the difference was statistically significant （ P 〈0.05）. Conclusions Compared with manual small incision cataract surgery, phacoemulsification is effective in treating diabetic metabolic cataract patients, effectively improve postoperative anterior segment parameters, reducing the IOP of

关 键 词：超声乳化术 手法小切口白内障术 白内障 前节 参数 

分 类 号：R779.66[医药卫生—眼科] R587.2[医药卫生—临床医学]