首页|飞秒激光辅助超声乳化白内障手术联合人工晶体植入术治疗糖尿病合并代谢性白内障患者的临床效果

飞秒激光辅助超声乳化白内障手术联合人工晶体植入术治疗糖尿病合并代谢性白内障患者的临床效果

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目的 分析飞秒激光辅助超声乳化白内障手术联合人工晶体植入术治疗糖尿病合并代谢性白内障患者的临床效果。方法 选取2020年1月至2022年12月收治的150例糖尿病合并代谢性白内障患者作为研究对象,根据随机数字表法将其分为常规组(75例,超声乳化白内障手术联合人工晶体植入术)和观察组(75例,飞秒激光辅助超声乳化白内障手术联合人工晶体植入术)。比较两组的手术效果。结果 观察组的治疗总有效率显著高于常规组(P<0。05)。术后,观察组的角膜内皮细胞密度大于常规组,角膜内皮细胞平均面积和角膜厚度小于常规组,泪膜破裂时间(BUT)长于常规组,角膜荧光色素染色(CFS)评分低于常规组(P<0。05)。两组的不良事件总发生率比较,差异无统计学意义(P>0。05)。结论 飞秒激光辅助超声乳化白内障手术联合人工晶体植入术治疗糖尿病合并代谢性白内障患者能够快速恢复视力,且安全性高。
Clinical effect of femtosecond laser assisted phacoemulsification cataract surgery combined with intraocular lens implantation in the treatment of diabetic patients with metabolic cataract
Objective To analyze the clinical effect of femtosecond laser assisted phacoemulsification cataract surgery combined with intraocular lens implantation in the treatment of diabetic patients with metabolic cataract.Methods A total of 150 diabetic patients with metabolic cataract admitted from January 2020 to December 2022 were selected as the research objects.According to the random number table method,the patients were divided into conventional group(75 cases,phacoemulsification cataract surgery combined with intraocular lens implantation)and observation group(75 cases,femtosecond laser assisted phacoemulsification cataract surgery combined with intraocular lens implantation).The surgical effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the conventional group(P<0.05).After operation,the corneal endothelial cell density in the observation group was higher than that in the conventional group,the average area of corneal endothelial cells and corneal thickness were smaller than those in the conventional group,the break-up time(BUT)was longer than that in the conventional group,and the corneal fluorescence stain(CFS)score was lower than that in the conventional group(P<0.05).There was no significant difference in the total incidence of adverse events between the two groups(P>0.05).Conclusion Femtosecond laser assisted phacoemulsification cataract surgery combined with intraocular lens implantation in the treatment of diabetic patients with metabolic cataract can quickly restore visual acuity and has high safety.

diabeticmetabolic cataractfemtosecond laserphacoemulsification cataract surgeryintraocular lens implantation

杨恒敏、李煜

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西安爱尔古城眼科医院白内障科,陕西西安,710014

西安存济眼科医院综合眼科,陕西西安,710000

糖尿病 代谢性白内障 飞秒激光 白内障超声乳化术 人工晶体植入术

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(35)