Smecka Z, Smecková M, Karhan J, Rehák J
Acta Univ Palacki Olomuc Fac Med. 1989;122:291-4.
In 20 diabetic patients with diabetic retinopathy, we followed up the development of diabetic maculopathy after extraction. In 65% of the cases, the arisal or progression of the present macular edema was recorded 2 months after extraction together with a visual impairment. In 4 of them, the visual acuity adjusted itself within 10 months. The cause of this phenomenon may be traction of the vitreous body on the retina or the change in the hemodynamic conditions in the retina after cataract extraction. Since an improvement in the visual acuity occurs only in 30% of the involved eyes, it is recommended to apply the photocoagulation treatment on arisal or deepening of the edema.
在20例患有糖尿病性视网膜病变的糖尿病患者中，我们随访了白内障摘除术后糖尿病性黄斑病变的发展情况。在65%的病例中，术后2个月记录到黄斑水肿出现或加重，并伴有视力损害。其中4例患者的视力在10个月内自行恢复。这种现象的原因可能是玻璃体对视网膜的牵拉，或白内障摘除术后视网膜血流动力学状况的改变。由于只有30%的受累眼视力得到改善，因此建议在水肿出现或加重时进行光凝治疗。
