Nicula C, Pop R
Clinica Oftalmologică Cluj-Napoca.
Oftalmologia. 1999;47(2):57-62.
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.
We performed a study on 72 eyes with cataract and diabetes operated in the University Eye Hospital from Cluj-Napoca during 1992-1997.
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.
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.
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。
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。
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。
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。