首页|曲安奈德配合超声乳化白内障吸除术治疗糖尿病性白内障对患者最佳矫正视力、黄斑厚度的影响

曲安奈德配合超声乳化白内障吸除术治疗糖尿病性白内障对患者最佳矫正视力、黄斑厚度的影响

Effects of Triamcinolone and Phacoemulsification on Optimal Corrected Visual Acuity and Macular Thickness in Patients with Diabetic Cataract

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目的 探讨曲安奈德配合超声乳化白内障吸除术治疗糖尿病性白内障对患者最佳矫正视力(Best Cor-rected Visual Acuity,BCVA)、黄斑厚度的影响.方法 回顾性选取2021年6月—2023年6月福州东南眼科医院收治的120例糖尿病性白内障患者的临床资料,按治疗方式不同分为两组,各60例.对照组行超声乳化白内障吸除术,观察组采取曲安奈德配合超声乳化白内障吸除术治疗.对比两组BCVA、黄斑厚度、主观舒适度及并发症发生情况.结果 术后3个月,观察组BCVA 0.72±0.15高于对照组0.64±0.14,黄斑厚度(216.54±20.75)μm低于对照组(237.88±22.63)μm,差异有统计学意义(P均<0.05).观察组眼红、畏光、异物感、瘙痒感发生率(11.67%、18.33%、15.00%、11.67%)低于对照组(26.67%、36.67%、35.00%、31.67%),并发症总发生率(5.00%)低于对照组(16.67%),差异有统计学意义(P均<0.05).结论 曲安奈德配合超声乳化白内障吸除术治疗糖尿病性白内障能够改善术后黄斑增厚情况,降低并发症发生率,提高视力水平.
Objective To investigate the effects of triamcinolone and phacoemulsification on the best corrected visual acuity(BCVA)and macular thickness of patients with diabetic cataract.Methods The clinical data of one hundred and twenty patients with diabetic cataract admitted to Fuzhou Southeast Eye Hospital from June 2021 to June 2023 were retrospectively selected and divided into two groups according to different treatment methods,with sixty cases in each group.The control group received phacoemulsification cataract aspiration,and the observation group received tri-amcinolone and phacoemulsification cataract aspiration.BCVA,macular thickness,subjective comfort and the occur-rence of complications were compared between the two groups.Results At 3 months after operation,BCVA in observa-tion group 0.72±0.15 was higher than that in control group 0.64±0.14,macular thickness(216.54±20.75)μm was lower than that of control group(237.88±22.63)μm,and the differences were statistically significant(both P<0.05).The incidence of red eye,photophobia,foreign body sensation and pruritis in observation group(11.67%,18.33%,15.00%,11.67%)were lower than those in control group(26.67%,36.67%,35.00%,31.67%),and the total incidence of complications(5.00%)was lower than that in control group(16.67%),and the differences were statistically signifi-cant(all P<0.05).Conclusion Triamcinolone and phacoemulsification in the treatment of diabetic cataract can im-prove postoperative macular thickening,reduce complications rate and improve visual acuity.

Diabetic cataractTriamcinoloneMacular thicknessBest corrected visual acuityComplication

王世权、刘利娟

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福州东南眼科医院(金山新院)白内障科,福建 福州 350008

糖尿病性白内障 曲安奈德 黄斑厚度 最佳矫正视力 并发症

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(8)