白内障超声乳化手术联合术后激光光凝治疗老年白内障伴糖尿病黄斑水肿的临床观察

发布时间：2018-03-23 10:37

本文选题：白内障超声乳化手术　切入点：术后激光光凝　出处：《中国老年学杂志》2017年09期

【摘要】：目的探讨白内障超声乳化手术联合术后激光光凝治疗老年白内障伴糖尿病黄斑水肿(DME)的凹视网膜厚度、眼压的相关性研究。方法老年白内障伴DME患者72例,根据随机对照表分为对照组和试验组各36例,对照组均行标准化白内障超声乳化联合人工晶状体置入手术,试验组在对照组的基础上,于手术后1 w予以激光光凝治疗。治疗后对比分析两组临床疗效、视力提高率、中心凹视网膜厚度(CMT)、眼压降低、视力变化以及并发症发生率情况。结果治疗后试验组临床总有效率、视力提高率高于对照组(P0.05)。两组CMT、眼压降低,且试验组低于对照组,视力提高,且试验组高于对照组(P0.05)。两组并发症发生率比较差异无统计学意义(P0.05)。结论白内障超声乳化手术联合术后激光光凝治疗老年白内障伴DME的临床疗效显著,并发症发生率较低,适宜临床应用推广。
[Abstract]:Objective to investigate the correlation between retina thickness and intraocular pressure in the treatment of senile cataract with diabetic macular edema by phacoemulsification combined with laser photocoagulation. Methods 72 cases of senile cataract with DME were studied. According to the random comparison table, each group was divided into two groups: the control group (n = 36) and the experimental group (n = 36). The control group received standardized phacoemulsification combined with intraocular lens implantation, and the experimental group was based on the control group. Laser photocoagulation was performed 1 week after operation. The clinical efficacy, visual acuity, retinal thickness of fovea and intraocular pressure were compared between the two groups. Results after treatment, the total effective rate and visual acuity of the experimental group were higher than that of the control group (P 0.05). The IOP of the two groups was lower than that of the control group, and the visual acuity of the experimental group was lower than that of the control group. There was no significant difference in the incidence of complications between the two groups. Conclusion the clinical effect of phacoemulsification combined with laser photocoagulation in the treatment of senile cataract with DME is significant and the incidence of complications is low. It is suitable for clinical application.
【作者单位】：兰州市第一人民医院眼科;
【基金】：国家医学教育发展中心医学研究课题(No.2010-24-02-011)
【分类号】：R587.2;R779.6

【相似文献】