临床眼科杂志2012，Vol.20Issue(4)：316-318,3.DOI:10.3969/j.issn.1006-8422.2012.04.010
玻璃体切割联合白内障手术治疗糖尿病视网膜病变对角膜内皮细胞的影响
Effect of vitrectomy combined with cataract surgery on the corneal endothelial cells in diabetic retinopathy
于海生 1陈晓隆 2王禹 1翟刚1
作者信息
- 1. 113008,辽宁省抚顺市眼病医院
- 2. 中国医科大学附属盛京医院眼科
- 折叠
摘要
Abstract
Objective To investigate the effet of vitrectomy combined with phacoemulsification and foldable in -traocular lens implantation in the capsular bag surgery on the corneal endothelial cells in proliferative diabetic retinopathy . Methods Select the appropriate proliferative diabetic retinopathy and cataract were diagnosed with vitrectomy combined with phacoemulsification cataract surgery and capsular bag implantation of foldable intraocular lens in 23 cases , and before surgery, after 1 week, more than 3 months after surgery collected in different periods of the analysis of corneal endothelial cells in target, To analyze the effet of surgery on the corneal endothelial cells and related factors . And to compare the line of vitrectomy combined with phacoemulsification cataract surgery in corneal endothelial cell changes . The changes after simple vitrectomy (29 cases) and simple ultrasonic cataract surgery (25 cases) in corneal endothelial cell , To evaluate the corneal endothelial cell function and operation security of diabetic patients . Results The results showed that simple vitrec -tomy group before and after surgery on corneal endothelial cell density was no significant difference , Phacoemulsification surgery group and the combined surgery group there were significant differences , Among the three groups , Phacoemulsification surgery group and the combined surgery group there were no significant differences , but the two groups there were sig -nificant differences with simple vitrectomy group . Conclusion Selective use of vitrectomy combined with phacoemulsifica -tion and intraocular lens implantation in diabetic retinopathy associated with cataract surgery is effective ,It has certain influence on the corned endothelial cells , But the combined surgery compared with cataract surgery alone has no significant difference, This surgical mode is safe.关键词
玻璃体切割/超声乳化/角膜内皮细胞/糖尿病Key words
Vitrectomy/ Phacoemulsification / Corneal endothelial cells / Diabetes
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于海生,陈晓隆,王禹,翟刚..玻璃体切割联合白内障手术治疗糖尿病视网膜病变对角膜内皮细胞的影响[J].临床眼科杂志,2012,20(4):316-318,3.
