摘要
目的探讨曲安奈德配合超声乳化白内障吸除术治疗糖尿病性白内障对患者最佳矫正视力(Best Cor⁃rected Visual Acuity,BCVA)、黄斑厚度的影响。方法回顾性选取2021年6月-2023年6月福州东南眼科医院收治的120例糖尿病性白内障患者的临床资料,按治疗方式不同分为两组,各60例。对照组行超声乳化白内障吸除术,观察组采取曲安奈德配合超声乳化白内障吸除术治疗。对比两组BCVA、黄斑厚度、主观舒适度及并发症发生情况。结果术后3个月,观察组BCVA 0.72±0.15高于对照组0.64±0.14,黄斑厚度(216.54±20.75)μm低于对照组(237.88±22.63)μm,差异有统计学意义(P均<0.05)。观察组眼红、畏光、异物感、瘙痒感发生率(11.67%、18.33%、15.00%、11.67%)低于对照组(26.67%、36.67%、35.00%、31.67%),并发症总发生率(5.00%)低于对照组(16.67%),差异有统计学意义(P均<0.05)。结论曲安奈德配合超声乳化白内障吸除术治疗糖尿病性白内障能够改善术后黄斑增厚情况,降低并发症发生率,提高视力水平。
Objective To investigate the effects of triamcinolone and phacoemulsification on the best corrected visual acuity(BCVA)and macular thickness of patients with diabetic cataract.Methods The clinical data of one hundred and twenty patients with diabetic cataract admitted to Fuzhou Southeast Eye Hospital from June 2021 to June 2023 were retrospectively selected and divided into two groups according to different treatment methods,with sixty cases in each group.The control group received phacoemulsification cataract aspiration,and the observation group received triamcinolone and phacoemulsification cataract aspiration.BCVA,macular thickness,subjective comfort and the occurrence of complications were compared between the two groups.Results At 3 months after operation,BCVA in observation group 0.72±0.15 was higher than that in control group 0.64±0.14,macular thickness(216.54±20.75)μm was lower than that of control group(237.88±22.63)μm,and the differences were statistically significant(both P<0.05).The incidence of red eye,photophobia,foreign body sensation and pruritis in observation group(11.67%,18.33%,15.00%,11.67%)were lower than those in control group(26.67%,36.67%,35.00%,31.67%),and the total incidence of complications(5.00%)was lower than that in control group(16.67%),and the differences were statistically significant(all P<0.05).Conclusion Triamcinolone and phacoemulsification in the treatment of diabetic cataract can improve postoperative macular thickening,reduce complications rate and improve visual acuity.
作者
王世权
刘利娟
WANG Shiquan;LIU Lijuan(Department of Cataract,Fuzhou Southeast Eye Hospital(Jinshan New Hospital),Fuzhou 350008,Fujian,China)
出处
《糖尿病新世界》
2024年第8期15-18,共4页
Diabetes New World Magazine
关键词
糖尿病性白内障
曲安奈德
黄斑厚度
最佳矫正视力
并发症
Diabetic cataract
Triamcinolone
Macular thickness
Best corrected visual acuity
Complication
作者简介
王世权(1990-),男,本科,主治医师,研究方向为白内障术中辅助用药;通信作者:刘利娟(1977-),女,硕士,副主任医师,研究方向为白内障、眼底病、葡萄膜病、眼外伤等,E-mail:348189041@qq.com。
