Diabetes mellitus and intraocular lens implantation.

Diabetes mellitus and intraocular lens implantation.
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糖尿病与人工晶状体植入。

DOI:
10.1016/s0161-6420(83)34550-4
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发表时间:
1983
期刊:
影响因子:
13.7
通讯作者:
Miyamasu,W
Miyamasu,W
中科院分区:
医学1区
文献类型:
--
作者:
Straatsma,BR;Pettit,TH;Wheeler,N;Miyamasu,W

文献摘要

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对20名糖尿病患者(伴或不伴非增生性视网膜病变)和209名非糖尿病患者的234只眼睛进行白内障囊外摘除联合后房型人工透镜(ECCE-后房型人工晶状体)的前瞻性评价显示,手术或术后并发症无统计学显著差异。65%的糖尿病手术眼和90%的非糖尿病手术眼的术后最终视力达到20/40或更好,差异具有统计学意义(P= 0.0049)。当排除患有糖尿病视网膜病变或其他导致视力下降的既存眼科疾病的患眼时,93%的糖尿病患眼和96%的非糖尿病患眼的术后视力达到20/40或更好,差异无统计学意义(P= 0.5045)。因此,ECCE-后房型IOL手术在糖尿病患者(伴或不伴非增殖性视网膜病变)中的相对不太有利的结局是由于视网膜病变或其他导致视力下降的眼科疾病的频率更高。基于这项研究和所有可用信息,提出了关于糖尿病和人工透镜植入的指南。
Prospective evaluation of extracapsular cataract extraction with posterior chamber intraocular lens (ECCE-posterior chamber IOL) in 234 eyes of 20 diabetics, with and without nonproliferative retinopathy, and 209 nondiabetics demonstrated no statistically significant difference in operative or postoperative complications. A postoperative final visual acuity of 20/40 or better was achieved in 65% of diabetic surgical eyes and in 90% of nondiabetic surgical eyes, a difference that was statistically significant (P= 0.0049). When eyes with diabetic retinopathy or other pre-existing ophthalmic disease responsible for decreased vision were excluded, postoperative visual acuity of 20/40 or better was obtained in 93% of diabetic eyes and 96% of nondiabetic eyes, a difference that was not statistically significant (P= 0.5045). Therefore, the relatively less favorable outcome of ECCE-posterior chamber IOL surgery in diabetics, with or without nonproliferative retinopathy, is due to greater frequency of retinopathy or other ophthalmic disease responsible for decreased vision. Based on this study and all available information, guidelines regarding diabetes mellitus and intraocular lens implantation are presented.
晶状体植入和糖尿病。
DOI: --
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影响因子: --
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DOI: 10.1016/s0161-6420(81)34982-3
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