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目的:观察白内障人工晶状体植入术后糖尿病视网膜病变(DR)激光光凝治疗效果及光凝后的远期效果,探讨光凝治疗的时机及影响光凝的因素。方法:采用美国IRIS532半导体眼科激光治疗仪行视网膜光凝术。结果:视网膜光凝术6个月后随访,34眼视力提高1～3行,占60.7%;20眼视力无变化,占35.7%;2眼视力下降,占3.5%。6个月后行FFA检查。56眼在观察期间未出现明显的并发症。结论:适时的白内障摘除联合IOL植入,合理及时的激光治疗,是控制糖尿病患者眼底病变继续恶化的重要手段。
Objective: To observe the therapeutic effect of laser photocoagulation (DR) and the long-term effect after photocoagulation in patients with cataract treated with intraocular lens implantation and to discuss the timing of photocoagulation treatment and the factors affecting photocoagulation. Methods: The American IRIS532 semiconductor ophthalmic laser photocoagulation line retinal photocoagulation. Results: Retinal photocoagulation was followed up for 6 months. The visual acuity of 34 eyes improved by 1 to 3 lines (60.7%). There was no change in visual acuity in 20 eyes (35.7%). The visual acuity decreased in 2 eyes (3.5%). FFA check after 6 months. 56 eyes did not show any significant complications during the observation period. Conclusion: Timely cataract extraction combined with IOL implantation, reasonable and timely laser treatment is an important means to control the diabetic patients with ocular lesions continue to deteriorate.