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目的评价白内障小切口摘出联合人工晶状体植入术后老年性白内障合并糖尿病患者的视网膜病变的进展状况。方法对132例169眼老年性白内障合并糖尿病患者行小切口白内障摘出联合人工晶状体植入术。术后对术眼视网膜病变进行观察。结果本组所选病例中无糖尿病视网膜病变者31眼,单纯性糖尿病视网膜病变、糖尿病视网膜病变行视网膜光凝治疗后及眼底窥不见者138眼,术眼中76眼出现视网膜病变进展,表现为DR1-6期改变及黄斑病变加剧。结论 (1)白内障手术可加速糖尿病视网膜病变进展;(2)术前及术后及时行视网膜激光光凝治疗可防止病程进展。
Objective To evaluate the progress of retinopathy in senile cataract patients with diabetes mellitus after small incision cataract extraction combined with intraocular lens implantation. Methods 132 cases of 169 eyes with senile cataract with diabetes mellitus were treated with small incision cataract extraction combined with intraocular lens implantation. Postoperative retinal lesions were observed. Results 31 cases of diabetic retinopathy in this group of patients selected, simple diabetic retinopathy, retinopathy of diabetic retinopathy after retinal photocoagulation and 138 cases of eye peep, retinal lesions in 76 eyes surgery showed the performance of DR1 -6 changes and macular degeneration worsened. Conclusions (1) cataract surgery can accelerate the progress of diabetic retinopathy; (2) preoperative and postoperative timely retinal laser photocoagulation therapy can prevent the progression of the disease.