[1]张丁,叶剑.合并糖尿病白内障患者术后黄斑厚度变化的临床研究[J].第三军医大学学报,2013,35(12):1301-1304.
 Zhang Ding,Ye Jian.Clinical study of macular retinal thickness in patients with diabetes after cataract surgery[J].J Third Mil Med Univ,2013,35(12):1301-1304.
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合并糖尿病白内障患者术后黄斑厚度变化的临床研究(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第12期
页码:
1301-1304
栏目:
论著
出版日期:
2013-06-30

文章信息/Info

Title:
Clinical study of macular retinal thickness in patients with diabetes after cataract surgery
作者:
张丁叶剑
第三军医大学大坪医院野战外科研究所眼科
Author(s):
Zhang Ding Ye Jian
Department of Ophthalmology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, 400042, China
关键词:
糖尿病视网膜病变光学相干断层扫描黄斑厚度白内障超声乳化术加人工晶状体植入术
Keywords:
diabetic retinopathy optical coherence tomography macular thickness phacoemulsification and intraocular lens implantation
分类号:
R587.2;R774.1;R776.1
文献标志码:
A
摘要:
目的      通过光学相干断层扫描仪测量黄斑区视网膜厚度,观察合并糖尿病的白内障患者术后黄斑区视网膜厚度的变化。      方法      选择2012年6-12月我科白内障手术患者59例96眼,其中无糖尿病的患者为A组(18例33眼),有糖尿病但无糖尿病视网膜病变的患者为B组(19例31眼),有糖尿病视网膜病变的患者为C组(22例32眼)。比较3组手术前后最佳矫正视力及术前,术后1 d、1周、1个月黄斑区视网膜厚度。      结果      术前3组最佳矫正视力无统计学差异,术后1个月A组患者31眼(94%)最佳矫正视力≥0.5;B组患者最佳矫正视力28眼(90%)≥0.5,2组比较差异无统计学意义(P>0.05);C组患者22眼(69%)最佳矫正视力≥0.5,与A、B 两组相比,差异均有统计学意义(P<0.05)。中心凹区:A、B两组术后1 d、1周、1个月黄斑区视网膜厚度与术前比较,差异均无统计学意义(P>0.05);C组术后1 d、1周黄斑区视网膜厚度与术前比较,差异无统计学意义(P>0.05),C组术后1个月视网膜厚度较术前明显增加 (P<0.05)。内环区和外环区:3组术后1 d、1周、1个月外环区视网膜厚度与术前比较,差异均无统计学意义(P>0.05)。      结论      糖尿病视网膜病变患者在术后,虽然经过一定的抗感染治疗,但视网膜厚度仍明显增加,并且黄斑中心凹区改变明显,提示糖尿病视网膜病变是引起白内障术后黄斑水肿的高危因素。
Abstract:
Objective      To investigate the changes of macular retinal thickness in patients with diabetes after phacoemulsification and intraocular lens implantation by optical coherence tomography.       Methods      Fifty-nine patients (96 eyes) who underwent cataract surgery in our hospital from June to December in 2012 were recruited. The patients without diabetes were enrolled as group A (18 cases, 33 eyes), the patients with diabetes but without diabetic retinopathy were enrolled as group B (19 cases, 31 eyes), and the patients with diabetic retinopathy were enrolled as group C (22 cases, 32 eyes). The corrected visual acuity was compared among the three groups before and after operation, and the retinal thickness in macular area was compared among the three groups before operation, and at 1 day, 1 week and 1 month after operation.       Results      The corrected visual acuity showed no significant difference among the three groups before operation. For patients with best corrected visual acuity≥0.5 at 1 month after operation, there were 31 eyes (94%) in group A, 28 eyes (90%) in group B, and 22 eyes (69%) in group C. The difference between group A and group B was not statistically significant (P>0.05), while group C showed significant difference as compared with group A and group B (P<0.05). Foveal region: Compared with that before operation, there was no significant difference in retinal thickness in group A and group B at 1 day, 1 week and 1 month after operation (P>0.05). Compared with that before operation, there was no significant difference in retinal thickness in group C at 1 day and 1 week after operation (P>0.05), but there was significant difference in retinal thickness in group C at 1 month after operation (P<0.05). Inner circle and outer circle: Compared with that before operation, there was no significant difference in retinal thickness in the three groups at 1 day, 1 week and 1 month after operation (P>0.05).       Conclusion      Although the patients with diabetic retinopathy are given appropriate anti-inflammatory treatment after cataract surgery, the postoperative retinal thickness increases, and the thickness of macular foveal region changes significantly, suggesting that diabetic retinopathy is the risk factor of mucular edema after catarat surgery.

参考文献/References:

张丁, 叶剑. 合并糖尿病白内障患者术后黄斑厚度变化的临床研究[J].第三军医大学学报,2013,35(12):1301-1304.

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更新日期/Last Update: 2013-06-20