摘要
为探索适合糖尿病病人白内障手术治疗的方法，随机抽查超声乳化白内障摘除加人工晶体植入术（简称ＰＨＡＣＯ）治疗糖尿病病人及非糖尿病病人白内障各６０人，常规白内障囊外摘除加人工晶体植入术（简称ＥＣＣＥ）治疗的糖尿病人及非糖尿病人白内障各６０人共２４０人分４组。其中，白内障２～３级核者采用ＰＨＡＣＯ术式，４～５级核者采用ＥＣＣＥ术式，观察时间为术后３０天。比较各组的术后并发症发生机率、术后视力恢复情况。结果：ＰＨＡＣＯ术式两组的术后并发症明显低于ＥＣＣＥ两组，术后视力恢复第１～７天以ＰＨＡＣＯ两组为佳；术后第３０天以非糖尿病人两组为佳。结论：ＰＨＡＣＯ术式术后并发症少，视力恢复快，尤其对糖尿病人白内障较ＥＣＣＥ有明显的优势。
Objective:The study was designed to determine the operative methods suited to diabetic,Methods:240 eyes were tested randomly.They were assigned to two groups,which named the former,and the later group.The former group includes 60 diabetic cataracts and 60 Non Diabetic cataracts.So do the later groups.The former group was treated by phaco+101.The later by Ecce+101.The observing time is 1 to 30 days after operation.To compare the incidence of postoperative complication and the postoperative vision acuity of each group.Results:The incidence of postoperative complication in the phaco groups is inferior to the Ecce groups.In the first day after operation the vision in phaco groups is superior to the Ecce groups 30 days later the vision in Non diabetic groups is superior to the diabetic groups.Conclusion:It was proved that phaco is the better operative method for the diabetic cataract than Ecce.For its good vision acuity and less postoperative complications.
出处
《中国实用眼科杂志》
CSCD
1999年第2期92-93,共2页
Chinese Journal of Practical Ophthalmology
