2型糖尿病患者小切口白内障囊外摘除及人工晶体植入术临床观察.doc

2型糖尿病患者小切口白内障囊外摘除及人工晶体植入术临床观察[摘要] 目的 观察2型糖尿病患者行小切口白内障囊外摘除及人工晶体植入术的临床效果。方法 对2005年3月～2007年12月2型糖尿病者白内障57例(62眼)与同期年龄、晶状体核硬度相匹配的非糖尿病者白内障64例(76眼)行小切口白内障囊外摘除及人工晶体植入术,对术后视力及早期并发症进行分析。结果 术后随访4周,两组视力均明显提高,最佳视力≥0.5者两组间的差异无统计学意义(χ2=0.50,P0.05)。糖尿病组术后角膜病变、葡萄膜炎、虹膜脱色素明显高于非糖尿病组,两组间的差异有统计学意义(χ2分别为10.25,8.17,17.31,P0.05)。结论 糖尿病组术后早期并发症较非糖尿病组发生率高,经过处理于2～4周恢复正常,对术后视力影响不大。糖尿病患者行小切口白内障囊外摘除及人工晶体植入术安全有效。 [关键词] 糖尿病; 白内障; 小切口白内障囊外摘除; 人工晶体植入 [中图分类号] R779.66 [文献标识码] A [文章编号] 1673-9701(2009)33-28-03 Clinical Observation of the Treatment of Small Incision Extracapsular Cataract Extraction Combined with Intraocular Lens Implantation for Cataract with TypeⅡ Diabetes Mellitus CAO Yongmei LIU Xiaolin CHEN Ying Department of Ophthalmology,Sichuan Provincial Forth People’s Hospital,Chengdu 610016,China [Abstract] ObjectiveTo observe the clinical effects of small incision extracapsular cataract extraction combined with intraocular lens implantation for cataract with typeⅡ diabetes mellitue. Methods57 cataract cases(62 eyes)with diabetes and 64(76 eyes)cataract cases without diabetes were undergone small incision xtracapsular cataract extraction combined with intraocular lens implantation. visualacuity and complications after surgery were analyzed. ResultsFour week later after the operation,the vision of two groups were markedly improved .the visualacuity(≥0.5) was not significantly different between two groups(P0.05). Complications such as keratopathy,uveitis,iridial decoloration in diabetics were significantly higher than that incases without diabetes(P0.05). ConclusionIt is safe and effective to undergo small incision extracapsular cataract extraction combined with intraocular lens implantation for cataract with type Ⅱdiabetes mellitue. [Key words]Diabetes mellitue; Cataract; Small incision extracapsular cataract extraction; Intraocular lens implantation 随着社会和经济的发展,生活和饮食习惯的改变,糖尿病发病率有明显增高趋势,最近的权威报道是5.89%～10.54%[1]。伴发糖尿病的白内障患者将是一个巨大的群体,手术是白内障患者复明和视功能重建的唯一有效手段。现将我科2005年3月～2007年1