合并糖尿病的白内障患者术后黄斑厚度变化的临床研究-第三军医大学学报.docVIP

合并糖尿病的白内障患者术后黄斑厚度变化的临床研究 张 丁，叶 剑 （第三军医大学大坪医院野战外科研究所眼科 重庆 400042） 摘要：目的 通过光学相干断层扫描测量视网膜厚度，观察合并糖尿病的白内障患者术后黄斑区视网膜厚度的变化。方法 选择2012年6-12月我院白内障手术患者59例96眼，其中无糖尿病的患者为A组(18例33眼)，有糖尿病但无糖尿病视网膜病变的患者为B组（19例31眼），有糖尿病视网膜病变的患者为C组（22例32眼）。比较3组手术前后视力及术前，术后1天、1周、1月黄斑区视网膜厚度。结果 术前3组视力无统计学差异，术后1个月A组患者31眼(94％)视力≥0．5；B组患者视力28眼 (90％)≥0．5，两组比较差异无统计学意义( P0．05)；C组患者视力22眼(69％)视力≥0．5，与A、B 两组相比，差异均有统计学意义(均为P0．05 )。A、B两组术后1 天、1周、1月视网膜厚度与术前比较，差异均无统计学意义(均为P 0．05)；C组术后1天、1周视网膜厚度均与术前比较，差异均无统计学意义(均为P 0．05)， C组术后1个月视网膜厚度均较术前明显增加，差异有统计学意义(P0．05)。结论 有糖尿病但无糖尿病视网膜病变的白内障患者在行白内障超声乳化加人工晶状体植入术后黄斑区视网膜厚度没有明显改变，与单纯白内障患者术后无明显差异，有糖尿病视网膜病变的白内障患者在行白内障超声乳化加人工晶状体植入术后黄斑区视网膜厚度明显增加。 关键字：糖尿病视网膜病变；光学相干断层扫描；黄板厚度；白内障超声乳化术加人工晶状体植入术； Clinical study of macular thickness changes in patients with diabetes after cataract surgery Zhang Ding，Ye Jian (Department of Ophthalmology，Institute of Surgery Research，Daping Hospital，Third Military Medical University，Chongqing，400042，China) Abstract Objective To investigate the changes of macular retina in patients with diabetes after phacoemulsification and intraocular lens implantation by optical coherence tomography. Methods We select 59 patients(96eyes),who performed cataract surgery in our hospital from June to December 2012.And,the patients without diabetes were divided into group A(18 cases,33 eyes); the patients with diabetes but without diabetic retinopathy were divided into group B(19 cases,31 eyes); the patients with diabetic retinopathy were divided into group C(22 cases,32 eyes).Visual acuity was compared among 3 groups at pre-operation and postoperative 1month;And retinal thickness at macular area was compared among 3 groups at pre-operation, postoperative 1 day,1week and 1month.Results Visual acuity was no significant difference between the 3 groups at pre-operative. For patients with visual acuity be and more than 0.5 at postoperative 1 month were 31 eyes(94％) in group A and 28 eyes(90％),there was no statistical difference(P0．05). For patients with visual acuity be and more th