Akinci Arsen, Batman Cosar, Zilelioglu Orhan
Ulucanlar Eye Hospital, Ulucanlar Cad, Ankara 06110, Turkey.
Int Ophthalmol. 2005 Dec;26(6):229-34. doi: 10.1007/s10792-007-9041-1. Epub 2007 Feb 23.
To evaluate the rates of intraoperative and early postoperative complications (IEPC) and the duration of phacoemulsification (DOP) in the eyes with and without diabetic retinopathy and the effect of oral and topical nonsteroidal anti-inflammatory agents (NSAIDs) on surgically induced miosis (SIM).
Phacoemulsification was applied to 50 eyes with proliferative diabetic retinopathy (PDR), 50 eyes with nonproliferative diabetic retinopathy (NPDR), and 50 eyes with no other ocular findings. NSAIDs were used perioperatively. The parameters evaluated were IEPC, DOP and the effect of NSAIDs on SIM.
The rates of IEPC and the DOP were significantly higher in the PDR group compared with the NPDR and control groups. Diabetes mellitus (DM) type had no significant effect on these parameters. The rate of SIM was higher in the eyes with PDR compared with the eyes with NPDR and the controls despite use of NSAIDs.
Our results indicates that eyes with PDR are significantly more prone to IEPC, while the type of DM is not a predictor factor. DOP is longer in the eyes with PDR. In spite of NSAID use, SIM is more commonly observed in eyes with PDR.
评估伴有和不伴有糖尿病视网膜病变的眼睛术中及术后早期并发症（IEPC）发生率、超声乳化持续时间（DOP），以及口服和局部使用非甾体抗炎药（NSAIDs）对手术诱发瞳孔缩小（SIM）的影响。
对50只患有增殖性糖尿病视网膜病变（PDR）的眼睛、50只患有非增殖性糖尿病视网膜病变（NPDR）的眼睛以及50只无其他眼部病变的眼睛进行超声乳化手术。围手术期使用NSAIDs。评估的参数包括IEPC、DOP以及NSAIDs对SIM的影响。
与NPDR组和对照组相比，PDR组的IEPC发生率和DOP显著更高。糖尿病类型对这些参数无显著影响。尽管使用了NSAIDs，但PDR眼的SIM发生率高于NPDR眼和对照组。
我们的结果表明，PDR眼发生IEPC的可能性显著更高，而糖尿病类型不是预测因素。PDR眼的DOP更长。尽管使用了NSAIDs，但PDR眼中更常观察到SIM。
