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在确诊为糖尿病的74例90只眼老年性白内障患者,糖尿病年限从1至21年不等。术前常规检测血糖,使血溏控制在正常或最低水平。患者行囊外摘出加后房型人工晶体植入。晶体为6.5~7mm直径单凸型。术后3天裸眼视力1.0以上者8只眼(8.9%),0.5~0.9者57只眼(63.3%),0.1~0.4者16只眼(17.8%),0.1以下者9只眼(10%)。术中并发症主要有虹膜出血和后囊破裂玻璃体脱出共2眼(2.2%)。术后并发症主要有晶体表面色素沉积(92%);晶体表面渗出膜7眼(8%);术后虹膜后粘连5眼(6%)。糖尿病患者人工晶体植入术多数都能获得满意的结果,但应及时处理术后并发症;对术前血糖不能降至正常的患者,术前应用止血药和抗菌素,术后及时抗炎治疗,同样能恢复良好的视力
In 74 patients diagnosed with diabetes, 90 eyes of senile cataract patients, diabetes duration from 1 to 21 years. Preoperative routine test blood sugar, so that control of blood in the normal or the lowest level. Patients underwent extracapsular extraction with posterior chamber intraocular lens implantation. Crystal diameter of 6.5 ~ 7mm single convex. There were 8 eyes (8.9%) with uncorrected visual acuity of 1.0 or more on day 3 postoperatively, 57 eyes (63.3%) of 0.5 ~ 0.9, 16 eyes of 0.1 ~ 0.4 (17.8%), 9 eyes below 0.1 (10%). Intraoperative complications mainly include iris hemorrhage and posterior capsular rupture (2%). Postoperative complications mainly include crystal surface pigmentation (92%), crystal eruption of the film in 7 eyes (8%) and postoperative iris adhesion in 5 eyes (6%). Most patients with diabetic intraocular lens implantation can get satisfactory results, but should be timely treatment of postoperative complications; Preoperative blood glucose can not be reduced to normal patients, preoperative application of hemostatic drugs and antibiotics, postoperative anti-inflammatory treatment in a timely manner, The same can restore good eyesight