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[糖尿病患者的人工晶状体]

[Intraocular lenses in patients with diabetes mellitus].

作者信息

Kałuzný J, Szweda E

出版信息

Klin Oczna. 1989 Jul-Sep;91(7-9):201-2.

PMID:2638445
Abstract

Presented are personal experiences concerning the application of artificial intraocular lenses in patients with diabetes and cataract. Operated were patients aged 50-76 years in whom implantation of an artificial lens of Alcon or Cilco was performed either to the anterior or posterior chamber. During the qualification for surgery eliminated were patients with proliferating retinopathy, with rubeosis iridis (with or without secondary glaucoma) and with juvenile diabetes. In 16 patients the obtained visual acuity was 0.8-1.0, in one female patient 0.5; in the remaining 2 persons the visual acuity amounted 0.2 and 0.3. These patients exhibited a simple exudative retinopathy with a macular oedema and after surgery they were subjected to a laser therapy. Observation of our material showed that qualifying diabetic patients for cataract extraction and taking into consideration the over mentioned contraindications one can obtain good results similar as in other patients with cataract.

摘要

本文介绍了人工晶状体在糖尿病性白内障患者中的应用经验。手术对象为年龄在50 - 76岁之间的患者,他们接受了爱尔康或席尔科人工晶状体植入手术,植入部位为前房或后房。手术前排除了增殖性视网膜病变、虹膜红变(伴有或不伴有继发性青光眼)以及青少年糖尿病患者。16例患者术后视力达到0.8 - 1.0,1例女性患者视力为0.5;其余2例患者视力分别为0.2和0.3。这些患者表现为单纯性渗出性视网膜病变伴黄斑水肿,术后接受了激光治疗。对我们的病例资料观察表明,为符合条件的糖尿病患者实施白内障摘除手术,并考虑上述禁忌证,可取得与其他白内障患者相似的良好效果。

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