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目的:探讨老年性白内障患者术后黄斑病变。方法:我院2009年1月至2009年12月在我院做白内障吸除术的老年性白内障患者45例(60眼)行标准超声乳化吸除术,并随机分成治疗组和对照组,每组各30眼。治疗组30眼用典必殊滴眼液(Alcon公司)和普南扑灵滴眼液(苏州卫材公司)合用每日4次,2周后改用普南扑灵滴眼液,每日3次,单独使用2周。对照组30眼用典必殊滴眼液(Alcon公司)滴眼,前2周每日4次,后2周每日3次。结果:术后3个月对手术的眼睛行OCT检查。OCT图像上有明显低反射腔者为黄斑囊样水肿,治疗组有1眼发生黄斑囊样水肿占3.3%;对照组有3眼发生黄斑囊样水肿,占10%。结论:典必殊滴眼液和普南扑灵滴眼液对术后黄斑囊样水肿的发生降低有明显的疗效。
Objective: To investigate the postoperative maculopathy in senile cataract patients. Methods: 45 cases (60 eyes) of senile cataract who underwent cataract surgery in our hospital from January 2009 to December 2009 underwent standard phacoemulsification and were randomly divided into treatment group and control group. Group of 30 eyes. 30 patients in the treatment group were treated with Dianbushu Eye Drops (Alcon) and Pu Nan Pu Ling Eye Drops (Suzhou Wei Materials) 4 times a day, 2 weeks after the switch to Pu Lun Pu Ling eye drops, daily 3 times, used alone for 2 weeks. Thirty eyes of the control group were drenched with Dicpromide Eye Drops (Alcon) four times daily for the first two weeks and three times daily for the second week. Results: OCT was performed on the operated eyes 3 months after surgery. In the OCT images, there were macular cystoid edema with obvious low reflex cavity, macular cystoid edema occurred in 1 case in the treated group, and macular cystoid edema occurred in 3 cases in the control group (10%). CONCLUSION: Dibutcong Eye Drops and Pu’nanpuling Eye Drops have a significant effect on reducing the occurrence of cystoid macular edema after operation.