Objective:To evaluate functional i mpairment in the corneal endothelium of eyes in patients with diabetes mellitus,after small-incision cataract surgery.Methods:Evaluation was performed in 93eyes in patients with type...Objective:To evaluate functional i mpairment in the corneal endothelium of eyes in patients with diabetes mellitus,after small-incision cataract surgery.Methods:Evaluation was performed in 93eyes in patients with type 2diabetes mel-litus(diabetic group)and 93eyes in patients without dia-betic mellitus(nondiabetic group)who underwent cataract surgery.Using a topography system,the corneal thickness in the central area was measured befo re surgery and 1day,1week,and 1month after surgery.Corneal endothelial cells were counted using a noncontact specular microscope.Results:No significant differences in any preoperative measures were observed between the d iabetic and nondia-betic groups.The increase in corneal thickness 1month after surgery was significantly hig her in the diabetic group than in the nondiabetic group(P=.03).The corneal endothelial cell losses 1day and 1we ek after surgery were significantly higher in the diabeti c group than in the non-diabetic group(after 1day,P=.03;and after 1week,P=.04).Conclusions:Compared with nondia betic eyes,eyes of patients with diabetes mellitus showed more damage in corneal endothelial cells due to c ataract surgery and a delay in the postoperative recovery of corneal edema.展开更多
文摘Objective:To evaluate functional i mpairment in the corneal endothelium of eyes in patients with diabetes mellitus,after small-incision cataract surgery.Methods:Evaluation was performed in 93eyes in patients with type 2diabetes mel-litus(diabetic group)and 93eyes in patients without dia-betic mellitus(nondiabetic group)who underwent cataract surgery.Using a topography system,the corneal thickness in the central area was measured befo re surgery and 1day,1week,and 1month after surgery.Corneal endothelial cells were counted using a noncontact specular microscope.Results:No significant differences in any preoperative measures were observed between the d iabetic and nondia-betic groups.The increase in corneal thickness 1month after surgery was significantly hig her in the diabetic group than in the nondiabetic group(P=.03).The corneal endothelial cell losses 1day and 1we ek after surgery were significantly higher in the diabeti c group than in the non-diabetic group(after 1day,P=.03;and after 1week,P=.04).Conclusions:Compared with nondia betic eyes,eyes of patients with diabetes mellitus showed more damage in corneal endothelial cells due to c ataract surgery and a delay in the postoperative recovery of corneal edema.
