国际眼科杂志Issue(2)：201-206,6.DOI:10.3980/j.issn.1672-5123.2016.2.02
比较糖尿病和非糖尿病患者超声乳化术超乳参数和黄斑厚度的变化
Comparison of phacoemulsification parameters effect on macular thickness changes after uneventful phacoemulsification in diabetic and non -diabetic patients
Ayse Gul Kocak Altintas 1Pinar Coban 1Hasan Basri Arifoglu 2Gultekin Koklu 1Pehmen Yasin Ozcan 1Kenan Sonmez1
作者信息
- 1. 土耳其，安卡拉 06240，Ulucanlar眼科教育与研究医院眼科
- 2. 土耳其，开塞利 38010，开塞利教育与研究医院眼科
- 折叠
摘要
Abstract
Abstract•AIM: To evaluate the effect of phacoemulsification ( phaco) parameters in micropulse phaco-tecnology with chamber stabilization environment ( CASE) and increased control and efficiency ( ICE ) mode on central foveal thickness ( CFT) changes after uneventful cataract surgery in normal and diabetic patients withou t retinopathy.•METHODS: In this prospective study a total of 120 patients consist of 60 patients with type 2 diabetes mel litus as a diabetic group ( DG ) without retinopathy and 60 normal subjects as acontrol group ( CG) who underwent uneventful phaco were evaluated. Intraoperative phacoemulsification parameters including phaco time ( PT ) , and effective phaco time ( EPT ) were recorded. The CFT measurements were performed preoperatively, at 1 and 3mo post operatively.The CFT diffe rences were calculated in each exam.•RESULTS:The mean PT in DG was 1.40±0.34min and it was 1.44 ±0.32min in CG, the differe nce was not significant (P=0.85).The mean EPT was 20.12±8.82s and 19.24 ±9.02s in DG and C G respectively which was statistically insignificant ( P =0. 964 ) . The mean preoperative CFT was 218.4 ±12.0 μm in DG and 222.1 ± 16.6 μm in CG which was not statist ically different ( P=0.168).The mean increment of CFT in DG was 30.3±37.2μm at 1mo postoperatively, while it was 13.1±12 .5 μm in CG.Even the CFT increments were significant in both groups at 1mo postoperatively, it was statistica llyhigher in DG than that of CG ( P =0.001 ).The average CFT increment at 3mo postoperatively compar ing to preoper aitve level was 12.5 ±12.4 μm and 4.6 ±9.7 μm in DG and CG respectively. The increment of CFT was signifciantly higher in DG than that of CG (P=0.00).But the comparison of the mean CFTs changes from postoperative 1mo and 3mo in both DG and CG, significan t decrements were observed in each group ( P=0.00 and P=0.03 respectively) .• CONCLUSION: The signfi cant increment of CFT following uneventful phaco. With the similar phaco parameters were observed in both normal and diabetic subjects.The CFT changes were higher in DG than that of CG but fortunately these were mostly subclinical and optic coherence tomography ( OCT ) based changes and regressed or disappeared after 3mo postoperatively therefore not require immediate treatment in both group.关键词
白内障超声乳化术/糖尿病致黄斑水肿/超乳时间/有效超乳时间Key words
• KEYWORDS：phacoemulsification/diabetic macular edema/phacoemulsification time/effective phacoemulsification time引用本文复制引用
Ayse Gul Kocak Altintas,Pinar Coban,Hasan Basri Arifoglu,Gultekin Koklu,Pehmen Yasin Ozcan,Kenan Sonmez..比较糖尿病和非糖尿病患者超声乳化术超乳参数和黄斑厚度的变化[J].国际眼科杂志,2016,(2):201-206,6.
