目的:探讨糖尿病患者反眉弓巩膜瓣切口白内障摘除人工晶状体植入术效果及并发症。方法:对26例28眼糖尿病患者白内障采用反眉弓巩膜瓣切口后房性人工晶状体植入术。结果:26例28眼糖尿病患者白内障术后视力均有不同程度提高,术后视力>0.3以上达64.3%,并发症包括:术中悬韧带断裂1眼,后囊膜破裂2眼,术后角膜上皮水肿及内皮皱褶18眼,房水闪辉(+～++)20眼,前房出血2眼,术后眼压增高3眼,瞳孔区纤维素膜渗出形成3眼。结论:我们体会糖尿病患者白内障在严格控制血糖的基础上进行手术疗效满意,提高手术技能,缩短手术时间可以减少并发症。

AIM:To evaluate the effects and complications of diabetic patient with anti-superciliary arch sclera flap intraocular lens(IOL) implantation.·METHODS:Twenty-six cases(28 eyes) with diabetics of cataract received anti-superciliary arch sclera flap IOL implantion.·RESULTS:The visual acuity of 26 cases (28 eyes) had varied degree after cataract surgery,among them for better than 0.3 up to 64.3%.Complications included:suspensory ligament rupture in 1 eye,posterior capsular rupture in 2 eyes,corneal epithelial edema and endothelial folds in 18 eyes,aqueous flare (+-++) in 20 eyes,hyphema in 2 eyes,IOP increased in three postoperative eyes.frbrin membranes formation within pupil zone in 3 eyes.·CONCLUSION:On the basis of strict control diabetic cataract can get satisfactory surgical treatment.To improve surgical skills and shorten the operation time can reduce complications.·

R779.66