超声乳化术对糖尿病与非糖尿病白内障患者黄斑中心凹厚度及视网膜厚度的影响  

Effect of Phacoemulsification on Macular Fovea Thickness and Retinal Thickness in Diabetes and Non Diabetes Cataract Patients

作　　者：管瑾晶 GUAN Jinjing(Tongzhou District Traditional Chinese Medicine Hospital Ophthalmology,Nantong 226300,China)

机构地区：[1]南通市通州区中医院眼科,江苏南通226300

出　　处：《中国医药指南》2023年第23期85-87,共3页Guide of China Medicine

摘　　要：目的 分析超声乳化术对糖尿病与非糖尿病白内障患者黄斑中心凹厚度及视网膜厚度的影响。方法 搜集于2021年1月至2023年1月于本医院进行超声乳化手术治疗的白内障患者作为研究对象,共105例。根据患者是否合并糖尿病疾病作为分组依据将研究对象分为糖尿病组和非糖尿病组,其中糖尿病组共52例,非糖尿病组共53例,两组患者的超声乳化手术均有同一组眼科医师完成,并行人工晶体置入术。比较糖尿病组和非糖尿病组经超声乳化术治疗前与治疗后3个月的黄斑中心凹厚度、视网膜厚度。结果 手术前,糖尿病与非糖尿病白内障患者的黄斑中心凹厚度及黄斑区平均视网膜厚度比较差异无统计学意义(P> 0.05);手术结束后3个月,两组患者的黄斑中心凹厚度及黄斑区平均视网膜厚度均大于手术治疗前,同组治疗前后对比差异有统计学意义(P <0.05);糖尿病组患者手术结束后3个月的黄斑中心凹厚度及黄斑区平均视网膜厚度均大于非糖尿病组患者,组间对比差异有统计学意义(P <0.05)。结论 与非糖尿病白内障患者相比,糖尿病白内障患者经过超声乳化术治疗后,其黄斑中心凹厚度及黄斑区平均视网膜厚度均明显增加。Objective To analyze the effect of phacoemulsification on macular fovea thickness and retinal thickness in diabetes and non diabetes cataract patients.Methods A total of 105 cataract patients who underwent phacoemulsification surgery in our hospital from January 2021 to January 2023 were collected and analyzed.The subjects were divided into diabetes group and non diabetes group according to whether the patients were complicated with diabetes disease.There were 52 cases in diabetes group and 53 cases in non diabetes group.The phacoemulsification operations of the two groups were completed by the same group of ophthalmologists,and intraocular lens was implanted.The macular fovea thickness and retinal thickness before and 3 months after phacoemulsification in diabetes group and non diabetes group were compared.Results Before surgery,there was no significant difference in macular fovea thickness and mean macular retinal thickness between diabetes and non diabetes cataract patients(P>0.05).Three months after the surgery,the thickness of the macular fovea and the average retinal thickness of the macular area in both groups of patients were greater than before the surgery treatment,with significant differences before and after treatment in the same group(P<0.05).The macular fovea thickness and the mean macular retinal thickness of the patients in the diabetes group were greater than those in the non diabetes group 3 months after the end of surgery,with significant differences between the groups(P<0.05).Conclusion Compared with non diabetes cataract patients,diabetes cataract patients after phacoemulsification have significantly increased macular fovea thickness and mean macular retinal thickness.

关 键 词：糖尿病 白内障 超声乳化术 视网膜厚度 黄斑中心凹厚度 

分 类 号：R587.1[医药卫生—内分泌]