Menchini Ugo, Cappelli Stefania, Virgili Gianni
Eye Clinic II, Department of Oto-Neuro-Ophthalmological Surgical Sciences, University of Florence, Italy.
Semin Ophthalmol. 2003 Sep;18(3):103-8. doi: 10.1076/soph.18.3.103.29805.
Diabetes is a risk factor for the development of cataracts. Studies have shown an increased risk of ocular complications in diabetics after cataract surgery, but modern surgical techniques have minimized them, leading to an overall good visual outcome. Macular edema before surgery is the most common condition that limits post-operative visual recovery. Thus, pre-operative laser treatment is needed. Photocoagulation of preproliferative or early proliferative diabetic retinopathy is also advisable, due to the increased risk of iris neovascularization or retinopathy progression after surgery.
糖尿病是白内障发生的一个危险因素。研究表明，糖尿病患者白内障手术后眼部并发症的风险增加，但现代手术技术已将这些风险降至最低，从而带来总体良好的视觉效果。术前黄斑水肿是限制术后视力恢复的最常见情况。因此，需要进行术前激光治疗。由于术后虹膜新生血管形成或视网膜病变进展的风险增加，对增殖前期或早期增殖性糖尿病视网膜病变进行光凝治疗也是可取的。
