CAJ | 학술논문

目的：观察不同时期糖尿病患者白内障术后黄斑厚度的改变。方法对30例年龄相关性白内障患者、30例轻中度非增生期糖尿病视网膜病变（ NPDR）患者及30例重度非增生期及增生期糖尿病视网膜病变（ PDR）患者白内障术前及术后1个月行黄斑区神经上皮层厚度检查，并分析。结果轻中度NPDR患者术前黄斑中心凹平均厚度（250．32±21．34）μm，术后1个月平均厚度（261．12±23．52）μm，重度NPDR及PDR患者白内障术前黄斑中心凹平均厚度（253．36±21．58）μm，术后（280．65±30．48）μm，年龄相关性白内障患者术前黄斑中心凹厚度（245．45±19．50）μm，术后（255．10±22．54）μm。结论重度NPDR及PRD患者较轻度NPDR患者白内障术后黄斑区厚度明显增加，黄斑水肿发生率高。
목적：관찰불동시기당뇨병환자백내장술후황반후도적개변。방법대30례년령상관성백내장환자、30례경중도비증생기당뇨병시망막병변（ NPDR）환자급30례중도비증생기급증생기당뇨병시망막병변（ PDR）환자백내장술전급술후1개월행황반구신경상피층후도검사，병분석。결과경중도NPDR환자술전황반중심요평균후도（250．32±21．34）μm，술후1개월평균후도（261．12±23．52）μm，중도NPDR급PDR환자백내장술전황반중심요평균후도（253．36±21．58）μm，술후（280．65±30．48）μm，년령상관성백내장환자술전황반중심요후도（245．45±19．50）μm，술후（255．10±22．54）μm。결론중도NPDR급PRD환자교경도NPDR환자백내장술후황반구후도명현증가，황반수종발생솔고。
Objective To study the foveal thickness following cataract surgery in patients with various stages of di-abetic retinopathy.Methods Cataract patients were divided into three groups according to their diabetic retinopathy sta-ges:mild-to-moderate non-proliferative ( group A) , severe non-proliferative or proliferative ( group B) , and control ( with-out diabetic retinopathy;group C).Each group consist 30 patients.Foveal thickness was measured by 3D-OCT before sur-gery and on the 30th day after surgery.Results The foveal thickness was 250.32 ±21.34 μm before surgery, and in-creased to 261.12 ±23.52 μm 1month after the surgery in group A.The pre-and postoperative thickness in group B was 253.36 ±21.58 μm and 280.65 ±30.48μm.In control group, the pre-and postoperative thickness was 245.45 ±19.50μm and 255.10 ±22.54 μm.Conclusion There is a higher incidence of macular edema after cataract surgery in patients with diabetic retinopathy, especially in those who have severe non-proliferative diabetic retinopathy or proliferative diabetic retinopathy.