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目的探讨小切口白内障摘除术联合人工晶体植入术治疗糖尿病性白内障的临床疗效。方法收集2008年至2012年于虞城县妇幼保健院接受小切口白内障摘除术联合人工晶状体植入术治疗的糖尿病性白内障患者50例,对患者的术后视力恢复情况和并发症发生情况进行回顾性分析总结。结果术后1 d,裸眼视力>0.7者3眼(4.2%);0.5~0.7者48眼(66.7%);0.3~0.5者14眼(19.4%);0.1~0.3者5眼(6.9%);<0.1者2眼(2.8%)。糖尿病病程越长,术后视力恢复越不理想;术后并发症主要有角膜水肿,前房纤维素性渗出,虹膜炎,后囊浑浊,眼压升高。结论在严格控制患者血糖的前提下,实施小切口白内障摘除术联合人工晶状体植入术可以安全有效地治疗糖尿病性白内障,值得临床推广应用。
Objective To investigate the clinical effect of small incision cataract extraction and intraocular lens implantation in the treatment of diabetic cataract. Methods Fifty patients with diabetic cataract who were treated with small incision cataract extraction combined with intraocular lens implantation in Yucheng Maternal and Child Health Hospital from 2008 to 2012 were collected. The postoperative visual acuity recovery and complications of the patients were retrospectively reviewed Sex analysis summary. Results One day after operation, the visual acuity of the eyes> 0.7 in 3 eyes (4.2%), the number of eyes in 0.5 ~ 0.7 eyes (66.7%), the eyes in 0.3 ~ 0.5 eyes (19.4% ; <0.1 in 2 eyes (2.8%). The longer the duration of diabetes, the less postoperative visual acuity recovery; postoperative complications are mainly corneal edema, anterior chamber fibrin exudative, iritis, posterior capsule turbidity, elevated intraocular pressure. Conclusion Under the premise of strict control of blood glucose in patients, the implementation of small incision cataract extraction combined with intraocular lens implantation can safely and effectively treat diabetic cataract, which is worthy of clinical application.