Bagley L H, Lavach J D
Eye Clinic for Animals, Garden Grove, CA 92643.
J Am Vet Med Assoc. 1994 Oct 15;205(8):1165-9.
Data were collected from the medical records of 123 nondiabetic dogs (182 eyes) and 30 diabetic dogs (57 eyes) in which phacoemulsification surgery was performed. Pre- and postoperative comparisons, including signalment, initial ophthalmic examination findings, surgical variables, and postoperative findings for the short-term follow-up period (mean, 5.75 weeks), between nondiabetic and diabetic dogs revealed that the complication rate was not greater in the diabetic group. Postoperative uveitis was evident with nearly equal frequency (in nondiabetic dogs, 90% or 164 of 182 eyes and in diabetic dogs, 88% or 50 of 57 eyes). In nondiabetic dogs, 1% prednisolone ophthalmic solution and prednisone were administered pre- and postoperatively, and amoxicillin and dichlorphenamide postoperatively. In diabetic dogs, the same treatment regimen, except for treatment with flunixin meglumine IV at surgery and substitution of aspirin for prednisone, was used. When nondiabetic and diabetic dogs were treated according to their respective pre- and postoperative medical regimens, clinical differences in postoperative findings were not apparent.
从123只非糖尿病犬(182只眼)和30只糖尿病犬(57只眼)的病历中收集了数据,这些犬均接受了白内障超声乳化手术。对非糖尿病犬和糖尿病犬术前和术后进行比较,包括品种特征、初次眼科检查结果、手术变量以及短期随访期(平均5.75周)的术后结果,结果显示糖尿病组的并发症发生率并不更高。术后葡萄膜炎的发生率几乎相同(非糖尿病犬中,182只眼中有90%或164只眼发生,糖尿病犬中,57只眼中有88%或50只眼发生)。非糖尿病犬术前和术后使用1%泼尼松龙眼药水和泼尼松,术后使用阿莫西林和双氯非那胺。糖尿病犬采用相同的治疗方案,但手术时静脉注射氟尼辛葡甲胺,并用阿司匹林替代泼尼松。当非糖尿病犬和糖尿病犬按照各自的术前和术后治疗方案进行治疗时,术后结果的临床差异并不明显。