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目的 探讨糖尿病患者白内障晶状体摘出联合人工晶状体植入的手术效果及术式选择。方法 40例 41眼白内障根据不同的晶状体核硬度 ,2 1眼采用晶状体囊外摘出联合人工晶状体植入 ,2 0眼采用超声乳化联合人工晶状体植入 ,并对两种术式的术中术后并发症进行比较。结果 全部病例术后视力均较术前提高 ,其中 5 1 2 % >0 5 ,视力提高不明显者占 4 9%。两种术式除术中后囊破裂有显著性差异外 ,其余并发症均无显著性差异。结论 人工晶状体植入术是糖尿病患者白内障术后恢复视力的理想方法 ,手术方式应根据患者及术者的具体情况而合理选择。
Objective To investigate the surgical effects and surgical options of cataract extraction combined with intraocular lens implantation in diabetic patients. Methods Forty-one eyes (41 eyes) with cataract were divided into two groups according to different core hardness, 21 cases underwent extracapsular lens extraction combined with intraocular lens implantation, 20 cases underwent phacoemulsification combined with intraocular lens implantation. Complications were compared. Results The postoperative visual acuity of all cases was higher than that before operation, of which 5 12%> 0 5 and 49% of patients with insignificant visual acuity. There were no significant differences in the other complications except for the posterior capsule rupture. Conclusion Intraocular lens implantation is an ideal method for the recovery of visual acuity after cataract surgery in diabetic patients. The surgical method should be based on the specific conditions of patients and surgeons.