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[糖尿病患者后房型人工晶状体植入术]

[The posterior chamber artificial crystalline lens implant in the diabetic patient].

作者信息

Nicula C, Pop R

机构信息

Clinica Oftalmologică Cluj-Napoca.

出版信息

Oftalmologia. 1999;47(2):57-62.

Abstract

UNLABELLED

The purpose of this study is to display the influence of diabetes on the course of the operation, postoperative complications and functional results in operated primary cataract.

MATERIAL AND METHODS

We performed a study on 72 eyes with cataract and diabetes operated in the University Eye Hospital from Cluj-Napoca during 1992-1997.

RESULTS

From the 72 cases, 58 had diabetes noninsuline dependent. Background diabetic retinopathy was present in only 18 cases. In 71 cases it was performed EEC + IOL-CP and 1 case with open angle glaucoma we made the triple procedure (EEC + CP-IOL + trabeculectomy). In 43 cases it was striate keratitis, in 30 eyes pigmentary migration and in 4 cases uveitis. As late postoperative complication we had 10 secondary cataract and i retinal detachment. Functional results were in majority cases between 0.1-0.3.

CONCLUSIONS

Diabetes do not influence the course of planned extracapsular extraction with PC-IOL, which is the best choice for the patients with cataract and diabetes. Functional results depends on the presence of diabetic retinopathy.

摘要

未标注

本研究的目的是展示糖尿病对原发性白内障手术过程、术后并发症及功能结果的影响。

材料与方法

我们对1992年至1997年在克卢日-纳波卡大学眼科医院接受白内障手术且患有糖尿病的72只眼睛进行了研究。

结果

在72例病例中,58例为非胰岛素依赖型糖尿病。仅18例存在糖尿病性视网膜病变。71例进行了超声乳化白内障吸除术+人工晶状体植入术,1例合并开角型青光眼患者进行了三联手术(超声乳化白内障吸除术+人工晶状体植入术+小梁切除术)。43例出现条纹状角膜炎,30只眼睛出现色素沉着迁移,4例出现葡萄膜炎。术后晚期并发症有10例继发性白内障和1例视网膜脱离。大多数病例的功能结果在0.1 - 0.3之间。

结论

糖尿病不影响计划行后房型人工晶状体囊外摘除术的手术过程,这是白内障合并糖尿病患者的最佳选择。功能结果取决于糖尿病性视网膜病变的存在情况。

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