Chiseliţă D, Poiata I, Tiutiuca C
Oftalmologia. 1999;47(2):73-80.
Analysis of functional results, per- and postoperative complications after cataract surgery in diabetic patients.
Retrospective study including 100 non-diabetic patients and 50 patients with type II diabetes, with extracapsular extraction and IOL implantation in the postoperator chamber followed for 10.3-7.3 months postoperative complications.
Postoperative visual acuity was lower in diabetic patients (0.317 +/- 0.24) versus non-diabetic patients (0.634 +/- 0.30); postoperative visual acuity was lower in diabetic patients without retinopathy (0.437 +/- 0.26) versus diabetic patients with non-proliferative retinopathy (0.348 +/- 0.26) or diabetic proliferative retinopathy (0.116 +/- 0.11); the incidence of per- and postoperative complications (early and late) is higher in diabetic patients compared with the control group.
Cataract surgery in diabetic patients is followed by higher rate of per- and postoperative complications. The postoperative functional result is dependent, in principal, on the retinal status of the diabetic patient and, secondary, on the per- and postoperative complications.
分析糖尿病患者白内障手术后的功能结果、术中及术后并发症。
回顾性研究,纳入100例非糖尿病患者和50例II型糖尿病患者,均行囊外摘除术并在后房植入人工晶状体,术后随访10.3 - 7.3个月观察并发症情况。
糖尿病患者术后视力(0.317±0.24)低于非糖尿病患者(0.634±0.30);无视网膜病变的糖尿病患者术后视力(0.437±0.26)低于患有非增殖性视网膜病变的糖尿病患者(0.348±0.26)或增殖性视网膜病变的糖尿病患者(0.116±0.11);糖尿病患者术中及术后并发症(早期和晚期)的发生率高于对照组。
糖尿病患者白内障手术后术中及术后并发症发生率较高。术后功能结果主要取决于糖尿病患者的视网膜状况,其次取决于术中及术后并发症。