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糖尿病性白内障患者滤蓝光人工晶体植入术临床观察
引用本文:付海荣,郭文兵,刘奕志.糖尿病性白内障患者滤蓝光人工晶体植入术临床观察[J].当代医师,2014(4):439-442.
作者姓名:付海荣  郭文兵  刘奕志
作者单位:[1]忻州市人民医院眼科,山西省忻州034000 [2]中山大学附属第二医院眼科,山西省忻州034000
基金项目:国家自然科学基金(30973277)
摘    要:目的:探讨糖尿病性白内障患者植入滤蓝光人工晶体治疗效果,为患者白内障术后提供更舒适的选择。方法收集糖尿病白内障患者100例(100只眼),随机分组,50例植入普通可折叠人工晶体、50例植入滤蓝光人工晶体,术后观察最佳矫正视力、并发症,对主观视觉质量问卷调查。结果两组术后1周、1个月最佳矫正视力差异无统计学意义( P >0.05)。两组患者术后早期并发症差异无统计学意义( P >0.05)。两组术后1周视功能调查表指标分数比较差异有统计学意义( P <0.05)。结论血糖控制在一定水平以内,滤蓝光人工晶体可以为糖尿病白内障患者提供更好选择。

关 键 词:白内障  病因学  晶体植入  眼内  糖尿病并发症  外科学  治疗结果

Clinical observation of blue-light-filtering intraocular lenses implantation on treating patients with diabetes cataract
Authors:Fu Hairong  Guo Wenbing  Liu Yizhi
Affiliation:Department of Ophthalmology, People's Hospital of Xinzhou City, Xinzhou 034000, China
Abstract:Objective To explore therapeutic efficacy of blue-light-filtering intraocular lenses implantation on treating patients with diabetes cataract , and provide a more comfortable choice after phacoemulsification ( PHACO) and intraocularlens ( IOL) implan-tation.Methods A total of 100 cases (100 eyes) of patients with diabetes cataract was collected , and was randomly divided into group I ( n =50, implanted ordinary intraocular lenses ) and group II ( n =50, implanted blue-light-filtering intraocular lenses).Af-ter surgery, the best-corrected vision and postoperative complications were reported .The subjective visual performance was evaluated by questionnaire .Results At 1 week and 1 month after surgery , the best-corrected vision had no significant differences between two groups ( P >0.05 ) .Early complication after surgery was not significantly different between two groups ( P >0.05 ) .The subjective visual performance in the blue-light-filtering intraocular lenses group was significantly better than that in the ordinary intraocular lenses group ( P <0.05 ) .Conclusions When the blood sugar is controlled in certain level , it is possible for the blue-light-filtering in-traocular lenses to provide a better choice for patients with diabetes cataract .
Keywords:Cataract/etiology  Lens implantation  intraocular  Diabetes complications/surgery  Treatment outcome
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