Hauser David, Katz Haia, Pokroy Russell, Bukelman Amir, Shechtman Edna, Pollack Ayala
Ophthalmology Department, Kaplan Medical Center, Rehovet, Israel.
J Cataract Refract Surg. 2004 Feb;30(2):428-32. doi: 10.1016/S0886-3350(03)00579-0.
To evaluate the risk factors associated with the occurrence and progression of diabetic retinopathy (DR) after phacoemulsification cataract surgery.
Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.
The medical charts of 52 eyes of 48 consecutive patients who had phacoemulsification were retrospectively reviewed. The occurrence of DR (new development of any DR) and progression (DR requiring laser treatment) were correlated with patients' age, sex, duration of diabetes, control of diabetes, hypertension, ischemic heart disease, and surgical technique. Exclusion criteria were significant ocular conditions and a follow-up shorter than 6 months.
The occurrence of DR was associated with male sex, and among males, with the duration of the disease. An analysis including all patients showed that postoperative progression of preexisting DR was not associated with any factor except poor blood sugar control. Neither the occurrence nor progression of DR was associated with reduced visual acuity
The occurrence and progression of DR after phacoemulsification were associated with different factors. Poor systemic control of diabetes increases the risk.
评估白内障超声乳化手术后糖尿病视网膜病变（DR）发生及进展的相关危险因素。
以色列雷霍沃特卡普兰医疗中心眼科。
回顾性分析48例连续接受超声乳化手术患者的52只眼的病历。DR的发生（任何DR的新发病例）及进展（需要激光治疗的DR）与患者的年龄、性别、糖尿病病程、糖尿病控制情况、高血压、缺血性心脏病及手术技术相关。排除标准为严重眼部疾病及随访时间短于6个月。
DR的发生与男性性别相关，在男性中，与疾病病程相关。对所有患者的分析显示，术前已存在的DR术后进展除血糖控制不佳外与任何因素均无关。DR的发生及进展均与视力下降无关。
超声乳化术后DR的发生及进展与不同因素相关。糖尿病的全身控制不佳会增加风险。
