摘要
目的 分析糖尿病 (DM )患者超声乳化白内障吸出术后低视力的原因。方法 分别于术前及术后 1周、3个月 ,对 36例行超声乳化白内障吸出术的DM患者 (DM组 )的手术眼、对侧未手术眼以及 36例行超声乳化白内障吸出术的非DM患者 (非DM组 )的手术眼行荧光素眼底血管造影 (FFA)检查。结果 双眼FFA检查结果 :DM组 :术前黄斑水肿 2眼 (1例为双眼 ) (2 .78%) ,术后 1周黄斑水肿 9眼 (2 5 .0 0 %) ,术后 3个月黄斑水肿 7眼 (19.44 %) ;对侧未手术眼术后 1周、3个月黄斑水肿 1眼 (2 .78%)。非DM组 :术前无黄斑水肿 ,术后 1周黄斑水肿 2眼 (5 .5 6 %) ;术后 3个月 2眼黄斑水肿消除。DM组术后 1周视力 :9眼为 0 .0 5～ 0 .1,13眼为 0 .2～ 0 .4,11眼为 0 .5～ 0 .9,3眼≥ 1.0 ;术后 3个月视力 :7眼为 0 .2～ 0 .4,2 3眼为 0 .5～ 0 .9,6眼≥ 1.0。非DM组术后 1周视力 :2眼为 0 .0 5～ 0 .1,7眼为 0 .2～ 0 .4,19眼为 0 .5～ 0 .9,8眼≥ 1.0 ;术后 3个月视力 :1眼为0 .2～ 0 .4,2 4眼为 0 .5～ 0 .9,11眼≥ 1.0。超声乳化白内障吸出术后DM组黄斑水肿的发生率明显高于非DM组 ,DM组的术后视力明显低于非DM组。结论 超声乳化白内障吸出术后的黄斑水肿是影响DM患者术后视力的主要原因之一。
Objective To analyze the cause of poor visibility after ultrasonic phacoemulsification in diabetic patients. Methods The operated and unoperated eyes of 36 diabetic patients and the operated eyes of 36 non-diabetic patients all underwent ultrasonic phacoemulsification, and were examined by fundus fluorescein angiography (FFA) before operation, and one week, 3 months after operation respectively. Results In 36 cases of diabetic patients, FFA of both eyes showed macular edema before operation accounted for 2.78%. 9 operated eyes had macular edema one week after operation(25.00%). 3 months after operation, 7 operated eyes developed macular edema(19.44%). Only one case developed macular edema in the unoperated eye one week to 3 months postoperatively(2.78%). FFA in 36 non-diabetic patients showed no macular edema occurred before operation. 2 operated eyes had macular edema one week after operation(5.56%), but disappeared 3 months late. The visibilities of diabetic patients one week after operation were 0.05～0.1 in 9 eyes;0.2～0.4 in 13 eyes; 0.5～0.9 in 11 eyes; ≥1.0 in 3 eyes. The visibilities 3 months postoperatively were 0.2～0.4 in 7 eyes; 0.5～0.9 in 23 eyes; ≥1.0 in 6 eyes.While in non-diebetic patients, the visibilities one week after operation were 0.05～0.1 in 2 eyes;0.2～0.4 in 7 eyes;0.5～0.9 in 19 eyes; ≥1.0 in 8 eyes. visibilities 3 months postoperatively were 0.2～0.4 in 1 eyes;0.5～0.9 in 24 eyes; ≥1.0 in 11 eyes. Comparative analysis demonstrated that the rate of occurrence of macular edema after ultrasonic phacoemulsification in diabetic patients was significantely higher than that in non-diabetic patients. The postoperative visibilities in diabetic patients was worser than that in non-diabetic patients. Conclusion Macular edema is one of the most important causes of visibilities damage in diabetic patients after ultrasonic phacoemulsification.
出处
《上海医学》
CAS
CSCD
北大核心
2003年第9期679-681,共3页
Shanghai Medical Journal
关键词
糖尿病
白内障
术后
荧光素眼底血管造影
视力
Diabetes mellitus
Macular edema
Visibility
Fundus fluorescein angiography
