Sebestyen J G, Wafai M Z
Am J Ophthalmol. 1983 Jul;96(1):94-6. doi: 10.1016/0002-9394(83)90460-9.
We conducted a retrospective study of 29 diabetic patients (16 women and 13 men, all at least 60 years old) who underwent intraocular lens implantation (23 anterior chamber lenses, three iris-supported lenses, and three posterior chamber lenses) in conjunction with cataract extraction. The cataracts were either unilateral or, if bilateral, there was a four-line difference in visual acuity between fellow eyes. We included only patients with no diabetic retinopathy or only minimal background angiopathy. There were no surgical complications in any of the eyes. Transient postoperative increases in intraocular pressure were easily controlled with medication. Final corrected visual acuities ranged from 20/20 to 20/200; 20 of the 29 patients achieved final visual acuities of 20/40 or better. In two patients, background retinopathy became active, leading to significant macular edema four months and one year later. In both cases, the macular edema decreased visual acuity from 20/30 to 20/200, although the visual acuity in one eye returned to 20/40 after laser photocoagulation. One patient had a cerebral vascular accident resulting in cortical blindness five months postoperatively and another developed rubeosis iridis and neovascular glaucoma 15 months postoperatively.
我们对29例糖尿病患者（16例女性和13例男性，均至少60岁）进行了一项回顾性研究，这些患者在白内障摘除术的同时接受了人工晶状体植入术（23枚前房型人工晶状体、3枚虹膜支撑型人工晶状体和3枚后房型人工晶状体）。白内障要么是单侧的，要么如果是双侧的，则双眼视力相差4行。我们仅纳入无糖尿病视网膜病变或仅有轻微背景性血管病变的患者。所有眼睛均未出现手术并发症。术后眼压的短暂升高很容易通过药物控制。最终矫正视力范围为20/20至20/200；29例患者中有20例最终视力达到20/40或更好。有2例患者，背景性视网膜病变变得活跃，分别在4个月和1年后导致显著的黄斑水肿。在这两例中，黄斑水肿使视力从20/30降至20/200，不过其中一只眼在激光光凝治疗后视力恢复到了20/40。1例患者在术后5个月发生脑血管意外导致皮质盲，另1例患者在术后15个月发生虹膜红变和新生血管性青光眼。
