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目的 :探讨糖尿病患者白内障超声乳化摘除联合囊袋内人工晶状体植入术后的疗效及并发症。方法 :对 6 1例 (81眼 )糖尿病白内障患者施行超声乳化摘除联合囊袋内人工晶状体植入术治疗。结果 :术后视力≥ 0 .5者占 85 .19% ,视力≥ 0 .3者占 88.89%。并发症主要包括 :晶状体后囊破裂 5眼 ,占 6 % ;角膜纹状混浊16眼 ,占 19% ;前房纤维素性渗出 6眼 ,占 7% ;后囊混浊 10眼 ,占 12 % ;糖尿病视网膜病变 13眼 ,占 16 %。结论 :对糖尿病患者在血糖控制稳定的情况下行超声乳化摘除联合囊袋内人工晶状体植入术治疗白内障完全有效 ,术后并发症少。
Objective: To investigate the efficacy and complications of phacoemulsification combined with intraocular lens implantation in patients with diabetes mellitus. Methods: Sixty one cases (81 eyes) of diabetic cataract patients underwent phacoemulsification and intraocular lens implantation. Results: Postoperative visual acuity≥0.5 accounted for 85.19%, visual acuity ≥0.3 accounted for 88.89%. Complications mainly included 5 cases of posterior capsule rupture, accounting for 6%; corneal opacity 16 cases, accounting for 19%; anterior chamber fibrin exudation 6 eyes, accounting for 7%; posterior capsule opacity 10 eyes, accounting for 12%; Diabetic retinopathy in 13 eyes, accounting for 16%. Conclusion: The treatment of cataract with phacoemulsification combined with capsular intraocular lens implantation under the condition of stable blood glucose control in patients with diabetes is completely effective and less postoperative complications.