糖尿病患者白内障超声乳化吸除术后黄斑部形态探析.docVIP

糖尿病患者白内障超声乳化吸除术后黄斑部形态探析 　　[摘要] 目的 观察合并糖尿病的白内障患者超声乳化白内障吸除术后黄斑部形态变化。 方法 回顾性分析2013年1月～2015年12月在沧州市中心医院行白内障超声乳化联合人工晶状体植入术的57例白内障合并2型糖尿病患者病例资料，共73只眼。术前、术后1个月、术后3个月对所有术眼行最佳矫正视力（BCVA）和频域光学相干断层扫描（OCT）检查，检测黄斑中心凹厚度（CFT）并观察黄斑中心凹形态变化。 结果 术前患眼BCVA平均值为（0.31±0.18），术后1个月BCVA平均值为（0.56±0.12），术后3个月BCVA平均值为（0.62±0.22）；采用单因素方差分析，差异有统计学意义（P 0.05）。术前CFT平均值为（216.12±18.23） μm，术后1个月CFT平均值为（231.32±13.14） μm，术后3个月CFT平均值为（221.48±23.35） μm；采用单因素方差分析，差异无统计学意义（P 0.05）。术后1个月，有8只患眼出现黄斑区异常改变，术后3个月仍有3只眼存在黄斑区异常改变。 结论 糖尿病患者超声乳化白内障吸除人工晶状体植入术后，可出现黄斑区异常改变，只有极少数患者术后3个月仍存在黄斑区异常改变 [?P键词] 超声乳化白内障吸除术；光学相干断层扫描；糖尿病；黄斑 [中图分类号] R77 [文献标识码] A [文章编号] 1673-7210（2017）01（c）-0121-04 [Abstract] Objective To evaluate the effect of phacoemulsification on the morphology and thickness of the macula in diabetes with cataract. Methods A retrospective analysis was made on clinical data of 57 patients with cataract and type 2 diabetics， which were treatment by phacoemulsification and intraocular lens implantation at Cangzhou Central Hospital from January 2013 to October 2015， with 73 eyes. The best corrected visual acuity （BCVA） and optical coherence tomography （OCT） were examined before operation， 1 month and 3 months after operation， to detect central foveal thickness （CFT） and macular center concave shape. Results The BCVA average was （0.31±0.18） before operation， the BCVA average was （0.56±0.12） 1 month after operation and the BCVA average was （0.62±0.22） 3 months after operation. The difference was statistically significant （P 0.05）. The CFT average was （216.12±18.23） μm before operation， the CFT average was （231.32±13.14） μm 1 month after operation and the CFT average was （221.48±23.35） μm 3 months after operation. The difference was not statistically significant （P 0.05） by one-way ANOVA. 8 eyes had abnormal changes in the macular area 1 month after operation， and 3 eyes still existed the abnormal changes 3 months after operation. Conclusion There may be macular abnormalities in the patients with diabetes melli