摘要
目的分析老年性白内障合并糖尿病的手术治疗体会。方法 21例(30只眼)老年性白内障合并糖尿病患者,采取常规的小切口白内障囊外摘除及人工晶状体植入手术,术前充分散瞳、并使用非甾体类药物,术中加用肾上腺素,术中足够大小的撕囊口,术后及时地眼底检查。结果术后视力≥0.3的25眼,其中视力<0.3的5只眼,2只眼为伴有视网膜色素变性,3只眼为合并有糖尿病视网膜病变。术后主要并发症为角膜水肿、前房渗出。结论小切口白内障囊外手术是治疗老年性白内障合并糖尿病的一种较好的方法,既恢复视力,也为眼底检查和治疗提供了保障。
Objective To analyze the results of surgical treatment of senile cataract with diabetes mellitus.Methods 21 senile cataract patients（30 eyes） with diabetes mellitus received regular small incision extracapsular cataract extraction and intraocular lens implantation.Pupils was fully dilated and non-steroidal drugs used preoperatively Epinephrine was used and capsulorhexis was in enough siz in the operation.After the operation,fundus was examined timely.Results Visual acuity is better than 0.3 in 25 eyes,less than 0.3 in 5 eyes,including 2 eyes associated with retinitis pigmentosa and 3 eyes associated with diabetic retinopathy.The major complications included corneal edema and anterior chamber exudation.Conclusion Small incision extracapsular cataract surgery is a suitable method to treat senile cataract with diabetes,which can not only restore vision,but also provide guarantee for fundus examination and treatment.
出处
《实用防盲技术》
2011年第3期119-120,共2页
Journal of Practical Preventing Blind
