临床眼科杂志2011，Vol.19Issue(5)：414-417,4.
白内障超声乳化吸除联合玻璃体切除治疗增生性糖尿病视网膜病变的临床研究
Clinical observation of phacoemulsification combined with vitrectomy for prolilferative diabetic retinopathy
周林 1邹玉平 2黄素英 2冯军1
作者信息
- 1. 223002,徐州医学院附属淮安医院眼科
- 2. 中山大学中山眼科中心,眼科学国家重点实验室
- 折叠
摘要
Abstract
Objective To investigate the efficacy of phacoemulsification or pars plana lensectomy combined with vitrectomy in the treatment of proliferative diabetic retinopathy and cataract. Methods Sixty cases( 73 eyes ) with PDR and cataract undergone 2 different combined surgeries from May 2007 to May 2010 in our hospital were reviewed , the cases divided into 2 groups. Group 1 was the techniques included phacoemulsification combined vitrectomy, IOL was inserted into the introcapsule, via the corneasleral incision. Group 2 was the techniques of lensectomy via the pars plana combined posterior segment surgeries. The anterior capsule was preserved and the epithelium was suctioned and scraped off. IOL was inserted via the corneascleral incision on the anterior capsule, of which the center area 4.5 ～ 5 mm in diameter was cut. Results Sixty cases including 73 eyes after surgery were followed-up for 2 months to 3 years. Postoperatively, There were significanted differences between two groups. In visual improvement which was achieved in 32 eyes( 80.00％ )in group 1 ,in 23 eyes( 69.70％ )in group 2. There were significant difference between, two, groupsin, visual, improvement( x2 = 4. 763, P ＜0.05 ). Iris neovascularization ( INV )occurred in one eye in group 1( 2.50 ％ ) and 7 eyes in group 2( 21.21％ )during 1.5 ～ 11 months. After, surgery ( x2 = 5. 837, P ＜ 0.05 ). Conclusion Phacoemusification and simultaneous introcapsule lens implantation combined with vitrectomy in the treatment of proliferative diabetic retinopathy and cataract is more effective than pars plana lensectomy combined with vitrectomy. The surgery obviously improves the visual outcome in the majority of selected eyes with less significant complications and less iris neovascularization ( INV ).关键词
晶状体超声乳化术/增生性糖尿病视网膜病变/玻璃体切除术/晶状体切除术Key words
Phacoemusification/ Proliferatived diabetic retinophathy/ Vitrectomy/ Lensectomy引用本文复制引用
周林,邹玉平,黄素英,冯军..白内障超声乳化吸除联合玻璃体切除治疗增生性糖尿病视网膜病变的临床研究[J].临床眼科杂志,2011,19(5):414-417,4.
