目的:分析小切口白内障囊外摘出人工晶状体植入术和超声乳化白内障吸除人工晶状体植入术治疗糖尿病性白内障的疗效及并发症。方法:选择2006-01/2010-01确诊为糖尿病性白内障患者52例60眼,Ⅱ～Ⅲ级核47眼,采用超声乳化白内障吸除后房型人工晶状体植入术;Ⅳ～Ⅴ级核13眼,采用小切口白内障囊外摘出后房型人工晶状体植入术。结果:糖尿病患者52例60眼白内障术后视力均有不同程度的提高,其中50眼(83%)术后1wk裸眼视力≥0.4。术中术后主要并发症经处理对术后视力无影响。结论:对糖尿病性白内障患者采取恰当的术式,施行小切口白内障囊外摘出人工晶状体植入术或超声乳化白内障吸除人工晶状体植入术疗效肯定。

AIM:To analyze the effects and complications of small incision extracapsular cataract extraction and intraocular lens implantation or phacoemulsification and intraocular lens implantation for the diabetic cataract.·METHODS:Totally 52 patients 60 eyes were diagnosed with diabetic cataract from January 2006 to January 2010. Phacoemulsification and posterior chamber intraocular lens implantation:Ⅱ~Ⅲgrade nuclear were in 47 eyes,Small incision extracapsular cataract extraction and posterior chamber intraocular lens implantation:Ⅳ~Ⅴgrade nuclear were in 13 eyes.·RESULTS:The visual acuity improved were in 52 cases 60 eyes;and uncorrected visual acuity ≥ 0.4 were in 50 eyes (83%) at 1wk postoperatively. After treatment,intraoperative and postoperative complications had no effect on visual acuity.·CONCLUSION:The appropriate surgery procedure such as small incision extracapsular cataract or phacoemulsification and intraocular lens implantation has the positive effect for patients with diabetic cataract.

R779.66