Kartasheva E A, Abramov M V, Evdokimova M I
Vestn Oftalmol. 1998 May-Jun;114(3):20-2.
Ninety patients with aphakia and diabetes were examined. Intraocular pressure was normal in 30 patients, in 30 aphakia was concomitant with primary glaucoma, and 30 presented with aphakic glaucoma. Fundus oculi was examined with a slit lamp and +60 D lens, gonioscopy and cycloscopy were carried out using a contact prism proposed by the authors. Aphakic glaucoma developed as a result of changes in the anterior chamber corner: coarse postoperative cicatrices and vitreo-corneal adhesions. Diabetic retinopathy was equally incident in all three groups of patients. Changes in the ciliary vessels can anticipate diabetic retinopathy. New vessels on ciliary body processes is an unfavorable prognostic sign as regards visual functions in patients with aphakia and increased intraocular pressure.
对90例无晶状体眼合并糖尿病患者进行了检查。30例患者眼压正常,30例无晶状体眼合并原发性青光眼,30例为无晶状体性青光眼。使用裂隙灯和+60D透镜检查眼底,采用作者提出的接触棱镜进行前房角镜检查和睫状体镜检查。无晶状体性青光眼是由于前房角改变所致:术后粗大瘢痕和玻璃体-角膜粘连。三组患者中糖尿病视网膜病变的发生率相同。睫状血管的改变可预示糖尿病视网膜病变。睫状体突上出现新生血管是无晶状体眼和眼压升高患者视觉功能预后不良的体征。