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目的 :探讨伴有糖尿病的老年性白内障患者采用超声乳化白内障摘除 (以下简称超乳 ) +人工晶状体 (IOL)植入手术的方法 ,并总结治疗效果。方法 :随机选取超乳 +IOL植入手术治疗伴有糖尿病的老年性白内障患者 77例 (97只眼 )进行回顾性研究 ,包括手术方法、术后矫正视力与糖尿病病程的关系、低视力原因及手术并发症等。结果 :术后矫正视力 0 5以上者占 81 4 4 % ,其中 1 0以上者占 5 1 5 5 % ,小于 0 3者占 6 18% ,视力好坏与糖尿病病程有一定的关系。糖尿病视网膜病变 (DR)为术后低视力的主要原因。结论 :对伴有糖尿病的老年性白内障患者 ,术前有效地控制血糖 ,在糖尿病视网膜病变稳定的情况下行超声乳化白内障吸除术 ,既可减少手术并发症 ,亦能提高术后视力。有效改善糖尿病患者的生活质量
Objective: To investigate the method of phacoemulsification and intraocular lens (IOL) implantation in senile cataract patients with diabetes and to summarize the therapeutic effect. Methods: A total of 77 patients (97 eyes) with senile cataract who were treated with phacoemulsification and IOL implantation were included in the retrospective study. The surgical methods, the relationship between postoperative corrected visual acuity and duration of diabetes mellitus, the causes of low vision, Surgical complications. Results: Postoperative corrected visual acuity of 81 4 4%, of which more than 10 accounted for 51.5%, less than 0.3 accounted for 6 18%, good or bad eyesight and diabetes have a certain relationship. Diabetic retinopathy (DR) is the main cause of postoperative low vision. CONCLUSIONS: In patients with senile cataract associated with diabetes, preoperative blood glucose control is effective and phacoemulsification cataract surgery with stable diabetic retinopathy can both reduce the complications of surgery and improve the postoperative visual acuity. Effectively improve the quality of life of diabetic patients