Onakpoya Oluwatoyin H, Bekibele Charles O, Adegbehingbe Stella A
Ophthalmology Unit, Department of Surgery, Obafemi Awolowo University, Ile Ife, Nigeria.
Middle East Afr J Ophthalmol. 2009 Apr;16(2):88-91. doi: 10.4103/0974-9233.53868.
To determine the visual outcome of cataract surgery in diabetes mellitus with advanced cataract in a tertiary institution in Nigeria.
A retrospective case control study conducted at the University College Hospital, Ibadan Nigeria.
Twenty three consecutive patients with diabetes and 23 age and sex matched non-diabetic control patients who had extracapsular cataract extraction for advanced cataract between 2002-2005.
Mean post operative visual acuity and surgical complications.
Twenty three patients with diabetes mellitus and 23 non diabetic controls were studied; mean duration of diabetes was 8.1 +/- 7.2 years. The mean post operative visual acuity in diabetics was 0.11+/-0.38, 0.33+/-0.57 and 0.38+/-0.49 at one week, two months and six months compared with 0.23+/-0.19, 0.46+/-0.37 and 0.48+/-0.31 in non diabetics. (p=0.207, 0.403 and 0.465 respectively). Improvement in preoperative visual acuity was noted in 84.2% and 90% in diabetics and non-diabetics respectively. Poor visual outcome in diabetics was mainly due to diabetic retinopathy, maculopathy or diabetes related surgical complications.
Visual improvement was seen following surgery for advanced cataract in diabetics in this study population. Post operative monitoring for treatment of diabetic retinopathy may enhance visual outcome.
在尼日利亚一家三级医疗机构中，确定患有晚期白内障的糖尿病患者白内障手术的视觉效果。
在尼日利亚伊巴丹大学学院医院进行的一项回顾性病例对照研究。
2002年至2005年间连续23例患有糖尿病的患者以及23例年龄和性别相匹配的非糖尿病对照患者，他们均因晚期白内障接受了囊外白内障摘除术。
术后平均视力及手术并发症。
对23例糖尿病患者和23例非糖尿病对照者进行了研究；糖尿病平均病程为8.1±7.2年。糖尿病患者术后1周、2个月和6个月时的平均视力分别为0.11±0.38、0.33±0.57和0.38±0.49，而非糖尿病患者分别为0.23±0.19、0.46±0.37和0.48±0.31。（p值分别为0.207、0.403和0.465）。糖尿病患者和非糖尿病患者术前视力改善率分别为84.2%和90%。糖尿病患者视力不佳主要是由于糖尿病视网膜病变、黄斑病变或糖尿病相关手术并发症。
在本研究人群中，糖尿病患者晚期白内障手术后视力得到改善。术后监测糖尿病视网膜病变的治疗可能会提高视力效果。
