CAJ | 학술논문

目的：对糖尿病性白内障患者人工晶状体植入术后的低视力原因进行分析探讨。方法以该院2012年1月—2013年7月期间收治的94例（123眼）糖尿病白内障患者按照眼底糖尿病视网膜病变（DR）程度分为观察组与对照组，对照组45例（61眼）为无明显DR患者，观察组49例（62眼）为非增生性DR患者，所有患者均行人工晶状体植入术，术后均行1～2年的随访，总结患者术后低视力的影响因素。结果对照组患者术后1周、1个月、3个月及6个月的视力低下率明显低于观察组，差异有统计学意义（P<0.05）。结论糖尿病性白内障患者行人工晶状体植入术后出现低视力的原因主要为糖尿病病程、DR病变程度、年龄等，术前及术后积极进行相应治疗，对于预防低视力的发生具有重要价值。
목적：대당뇨병성백내장환자인공정상체식입술후적저시력원인진행분석탐토。방법이해원2012년1월—2013년7월기간수치적94례（123안）당뇨병백내장환자안조안저당뇨병시망막병변（DR）정도분위관찰조여대조조，대조조45례（61안）위무명현DR환자，관찰조49례（62안）위비증생성DR환자，소유환자균행인공정상체식입술，술후균행1～2년적수방，총결환자술후저시력적영향인소。결과대조조환자술후1주、1개월、3개월급6개월적시력저하솔명현저우관찰조，차이유통계학의의（P<0.05）。결론당뇨병성백내장환자행인공정상체식입술후출현저시력적원인주요위당뇨병병정、DR병변정도、년령등，술전급술후적겁진행상응치료，대우예방저시력적발생구유중요개치。
Objective To study the causes of low vision of patients with diabetic cataract after intraocular lens implantation. Methods Divided 94 cases (123eyes) in our hospital from January 2012 to July 2013 into control group and experimental group according to DR degree, 45 cases in control group (61 eyes) were without obvious DR, 49 cases in experimental group (62 eyes) were not hypertrophic DR, adopted intraocular lens implantation, followed up 1~2 years, and summarized the in-fluence factors. Results The low vision rate of control group were lower than that of experimental group, P<0.05, the differ-ence had statistical significance. Conclusion The causes of low vision were as following: diabetic duration, DR degree, age et al. adopting treatment before and after surgery can prevent low vision.