中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
6期
413-416
,共4页
杨瑞明%沙翔垠%谭颖谦%曾明兵%郑瑜%樊飞红
楊瑞明%沙翔垠%譚穎謙%曾明兵%鄭瑜%樊飛紅
양서명%사상은%담영겸%증명병%정유%번비홍
视网膜病变,糖尿病性%晶状体超声乳化%晶状体,人工%植入术%玻璃体切除术
視網膜病變,糖尿病性%晶狀體超聲乳化%晶狀體,人工%植入術%玻璃體切除術
시망막병변,당뇨병성%정상체초성유화%정상체,인공%식입술%파리체절제술
retinopathy,diabetic%phacoemulsification%intraocular lens%implantation%vitrectomy
目的 评价晶状体超声乳化、囊袋内人工晶状体植入联合玻璃体切除术治疗增生型糖尿病视网膜病变(PDR)的临床效果.方法 回顾性分析合并不同程度白内障的增生型糖尿病视网膜病变61例(66眼).其中PDRⅣ期20眼,Ⅴ期33眼,Ⅵ期13眼.实施品状体超声乳化、囊袋内人工晶状体植入联合玻璃体切除术.观察术后视力改善程度和术中术后并发症.结果 术后视力改善:PDRⅣ期19眼(95.0%),Ⅴ期28眼(84.8%),Ⅵ期13眼(38.5%).术后视力低下者多伴有明显的糖尿病黄斑病变.术中术后主要并发症包括:医源性裂孔7眼(10.6%);玻璃体积血,术中17眼(25.8%),术后7眼(10.6%);角膜上皮延期愈合9眼(13.6%);角膜水肿8眼(12.1%).结论 超声乳化、人工晶状体植入联合玻璃体切除术治疗合并不同程度白内障的增生型糖尿病视网膜病变是安全有效的,可使大多数患者视力改善,避免玻切术后并发白内障再次手术.糖尿病黄斑病变是影响术后视力提高的主要原因.
目的 評價晶狀體超聲乳化、囊袋內人工晶狀體植入聯閤玻璃體切除術治療增生型糖尿病視網膜病變(PDR)的臨床效果.方法 迴顧性分析閤併不同程度白內障的增生型糖尿病視網膜病變61例(66眼).其中PDRⅣ期20眼,Ⅴ期33眼,Ⅵ期13眼.實施品狀體超聲乳化、囊袋內人工晶狀體植入聯閤玻璃體切除術.觀察術後視力改善程度和術中術後併髮癥.結果 術後視力改善:PDRⅣ期19眼(95.0%),Ⅴ期28眼(84.8%),Ⅵ期13眼(38.5%).術後視力低下者多伴有明顯的糖尿病黃斑病變.術中術後主要併髮癥包括:醫源性裂孔7眼(10.6%);玻璃體積血,術中17眼(25.8%),術後7眼(10.6%);角膜上皮延期愈閤9眼(13.6%);角膜水腫8眼(12.1%).結論 超聲乳化、人工晶狀體植入聯閤玻璃體切除術治療閤併不同程度白內障的增生型糖尿病視網膜病變是安全有效的,可使大多數患者視力改善,避免玻切術後併髮白內障再次手術.糖尿病黃斑病變是影響術後視力提高的主要原因.
목적 평개정상체초성유화、낭대내인공정상체식입연합파리체절제술치료증생형당뇨병시망막병변(PDR)적림상효과.방법 회고성분석합병불동정도백내장적증생형당뇨병시망막병변61례(66안).기중PDRⅣ기20안,Ⅴ기33안,Ⅵ기13안.실시품상체초성유화、낭대내인공정상체식입연합파리체절제술.관찰술후시력개선정도화술중술후병발증.결과 술후시력개선:PDRⅣ기19안(95.0%),Ⅴ기28안(84.8%),Ⅵ기13안(38.5%).술후시력저하자다반유명현적당뇨병황반병변.술중술후주요병발증포괄:의원성렬공7안(10.6%);파리체적혈,술중17안(25.8%),술후7안(10.6%);각막상피연기유합9안(13.6%);각막수종8안(12.1%).결론 초성유화、인공정상체식입연합파리체절제술치료합병불동정도백내장적증생형당뇨병시망막병변시안전유효적,가사대다수환자시력개선,피면파절술후병발백내장재차수술.당뇨병황반병변시영향술후시력제고적주요원인.
Objective To evaluate the outcome of combined phacoemulsification, in-the-bag implantation of posterior chamber intraocular lens( PCIOL) ,and pars plana vitrectomy for patients with retinal disorders resulting from diabetic retinopathy. Methods This retrospectiive study consisted of 66 eyes of 61 patients with proliferative diabetic retinopathy and clinically significant lens opacities ( Among them, Ⅳ PDR 20 eyes, Ⅴ PDR 33 eyes, Ⅵ PDR 13 eyes). Phacoemulsification and intraocular lens implantation was combined with pars plana vitrectomy. Postoperative visual acuity, and complications were analyzed. Results The Postoperative visual acuity improved : Ⅳ PDR 19 eyes (95% ) , Ⅴ PDR 28 eye (84.8% )s,Ⅵ PDR 13 eyes (38.5% ). Diabetic macular abnormalities present to eyes with low visual acuity. Postoperative major complications included; introgenic tetinal hole occurred in 7eyes ( 10. 6% ) ; intraoperative vitreous hemorrhage in 17eyes(25. 8% ) postoperative vitreous hemorrhage in 7eyes( 10. 6% ) ;delayed corneal epithelial healing in 9 eyes( 13. 6% ) ;corneal edema in 8eyes( 12. 1% ). Conclusions This study suggests that the combined operation of Phaco and IOL implantation, PPV is safe and effective for PDR coexisting with cataract. Combined surgery may prevent a second operation for postvitrectomy cataract, allowing earlier visual rehabilitation. Diabetic macular abnormalities is main reason preventing visual acuity raising.
