Schrey S, Krepler K, Biowski R, Wedrich A
Department of Ophthalmology, University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria.
Ophthalmologica. 2002 Sep-Oct;216(5):337-40. doi: 10.1159/000066179.
To assess the influence of cataract surgery on progression of diabetic retinopathy and visual acuity.
37 patient eyes with mild to moderate diabetic retinopathy at baseline underwent phacoemulsification and intraocular posterior chamber lens implantation. They were examined 3.3 +/- (SD) 0.7 years after surgery.
83.8% of the eyes showed a better final visual acuity, and 67.6% achieved a final visual acuity of 0.5 or better. The retinopathy remained unchanged in 83.8% and progressed in 16.2% of the eyes. No eye progressed to proliferative retinopathy.
Phacoemulsification and implantation of a posterior chamber intraocular lens is a safe procedure for patients with mild to moderate diabetic retinopathy.
评估白内障手术对糖尿病视网膜病变进展及视力的影响。
37例基线时有轻度至中度糖尿病视网膜病变的患眼接受了超声乳化白内障吸除术及人工晶状体后房型植入术。术后3.3±(标准差)0.7年对其进行检查。
83.8%的患眼最终视力得到改善,67.6%的患眼最终视力达到或优于0.5。83.8%的患眼视网膜病变无变化,16.2%的患眼视网膜病变进展。无患眼进展为增殖性视网膜病变。
对于轻度至中度糖尿病视网膜病变患者,超声乳化白内障吸除术及人工晶状体后房型植入术是一种安全的手术。