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目的:探讨玻璃体手术联合晶状体超声乳化治疗糖尿病性白内障合并眼底病变的临床疗效,以供参考。方法:回顾分析2015年12月-2016年11月我院收治的30例糖尿病白内障合并不同程度眼底病变患者的临床资料,患者均白内障超声乳化联合玻璃体手术同时进行人工晶状体囊袋内植入,对合并眼底病变的患者同时给予激光治疗或药物治疗,观察30例患者手术治疗后视力情况,人工晶状体位置和术后并发症发生情况。结果:所有手术人工晶状体位置良好,术后有28只眼(84.85%)有不同程度的视力提高,术后视力提高在两行以上的有21只眼(63.64%),术后视力无改变的3只眼(9.1%)。患者均无严重并发症发生,高眼压及炎症反应经治疗后均有缓解,能够在治疗后消失。结论:对于糖尿病性白内障合并眼底病变的治疗,采用玻璃体切除联合白内障超声乳化人工晶状体植入术治疗具有良好的临床疗效,具有安全性高、疗效确切的优点,值得在临床上推广应用。
Objective: To investigate the clinical efficacy of vitrectomy combined with phacoemulsification in the treatment of diabetic cataract combined with fundus lesions for reference. Methods: The clinical data of 30 diabetic cataract patients with different degrees of fundus lesions who were treated in our hospital from December 2015 to November 2016 were analyzed retrospectively. All patients underwent cataract phacoemulsification combined with vitrectomy for intraocular lens implantation. Patients with fundus lesions were treated with laser or drug therapy at the same time. The visual acuity, intraocular lens position and postoperative complication were observed in 30 patients after operation. Results: All the operative intraocular lenses were in good position. Postoperative 28 eyes (84.85%) had different degrees of visual acuity. Postoperative visual acuity improved in 21 eyes (63.64%) after more than two lines. There was no change in postoperative visual acuity 3 eyes (9.1%). No serious complications occurred in patients, intraocular hypertension and inflammatory response were relieved after treatment, can disappear after treatment. Conclusion: For the treatment of diabetic cataract complicated with fundus lesions, the use of vitrectomy and cataract phacoemulsification with intraocular lens implantation has good clinical curative effect, high safety and definite curative effect, which is worth popularizing in clinic.