Guo X, Gao Y
Department of Opthalmology, Beijing Hospital.
Zhonghua Yan Ke Za Zhi. 1995 Nov;31(6):440-2.
47 diabetics (71 eyes) having undergone cataract extraction with intraocular lens (IOL) implantation were examined and followed up. The results show that there is significant difference in the last post-operative visual acuities between the diabetic group and non-diabetic group (P < 0.01). The main cause affecting the post-operative visual acuities of the diabetics is diabetic proliferative retinopathy (P < 0.001). There is no significant difference in the post-operative visual acuities between diabetic group with or without simple diabetic retinopathy and non-diabetic group (P > 0.05). The intra- and post-operative complications in the diabetic and non-diabetic group were also investigated and there was no significant difference. IOL implantation should be guarded for diabetics with proliferative retinopathy especially when complicated with maculopathy.
对47例接受白内障摘除联合人工晶状体（IOL）植入术的糖尿病患者（71只眼）进行了检查和随访。结果显示，糖尿病组与非糖尿病组术后最终视力存在显著差异（P<0.01）。影响糖尿病患者术后视力的主要原因是糖尿病增殖性视网膜病变（P<0.001）。有或无单纯糖尿病视网膜病变的糖尿病组与非糖尿病组术后视力无显著差异（P>0.05）。还对糖尿病组和非糖尿病组的术中和术后并发症进行了调查，结果无显著差异。对于患有增殖性视网膜病变尤其是合并黄斑病变的糖尿病患者，人工晶状体植入术应谨慎进行。
