报告32例(40只眼)糖尿病患者白内障囊外摘除联合后房型人工晶体植入术术后随访6～36个月的临床观察结果。所有患者术中、术后均未发生感染以及严重并发症。29只眼(72.5%)术后随访矫正视力>0.5。玻璃体视网膜病变,尤其累及黄斑者,是影响术后视力恢复的主要原因。可见仅术前空腹血糖高于正常水平并非手术禁忌症。结果表明,选择正确的手术时机,使术前空腹血糖稳定在与糖尿病病情相适宜的水平三个月以上,对糖尿病患者施行自内障人工晶体手术是有效而又安全可靠的。 Reported 32 cases (40 eyes) of diabetic patients with extracapsular cataract extraction and posterior chamber intraocular lens implantation were followed up for 6 to 36 months clinical observation. All patients had no postoperative infection and serious complications. 29 eyes (72.5%) were followed up for corrected visual acuity> 0.5. Vitreoretinopathy, especially involving the macula, is the main reason for postoperative visual acuity recovery. Visible only preoperative fasting blood glucose levels higher than normal is not a surgical contraindication. The results show that choosing the correct timing of surgery to stabilize preoperative fasting blood glucose at a suitable level with diabetes mellitus for more than three months is effective and safe for diabetics to perform intraocular lens surgery.