...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical and Diagnostic Research >Evaluation of Visual Outcomes of Cataract Surgery in Diabetic Patients and Assessment of Post-operative Complications as Compared to Non-diabetics
【24h】

Evaluation of Visual Outcomes of Cataract Surgery in Diabetic Patients and Assessment of Post-operative Complications as Compared to Non-diabetics

机译：与非糖尿病患者相比，糖尿病患者白内障手术的视觉效果评估和术后并发症评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A leading cause of vision loss in the young adult population worldwide is sequelae and complications of diabetes. Cataract surgery performed on diabetic patients accounts for approximately 20% of total cataract surgeries. Cataract in patients with diabetes leads to decreased visual acuity and poses difficulty in examination of the retina adequately. Hence, it is advantageous to perform cataract surgery for diagnostic and therapeutic benefits, even if there is possible associated risk of aggravating the retinopathy.Aim: Evaluation and comparison of visual outcomes after cataract surgery in diabetic and non-diabetic patients; and assessment of post-operative complications.Materials and Methods: A prospective study was done to evaluate visual outcomes and post-operative complications after cataract surgery in 150 diabetics as compared to 150 non-diabetics; among the diabetics, 114 eyes were with mild Non Proliferative Diabetic Retinopathy (NPDR), 32 with moderate and 4 with severe NPDR. Central Foveal Thickness (CFT) measurement using Optical Coherence Tomography (OCT) was done for a homogenous group of 20 diabetics without proliferative retinopathy or Clinically Significant Macular Oedema (CSME) at baseline, and compared to 20 non-diabetics, to look for macular oedema, before and 6 weeks after cataract surgery. Qualitative data analysis was performed using student?s unpaired t-test. Quantitative data analysis was performed using Chi-square test. SPSS version 17.0 was used for analysis.Results: The parameters to be evaluated were CFT, visual outcome and macular oedema before and 6 weeks after surgery. Diabetics showed a marginally higher incidence of increased CFT on OCT after cataract surgery. Poor glycaemic control and pre-existing diabetic retinopathy were compared with a significant decrease of the visual outcomes and these patients had an increased incidence of post-operative complications.Conclusion: Adequate glycaemic control and the management of diabetic retinopathy would help to improve post-operative vision following cataract surgery.
机译：全世界年轻成年人的视力丧失的主要原因是糖尿病的后遗症和并发症。对糖尿病患者进行的白内障手术约占白内障手术总数的20％。糖尿病患者的白内障导致视力下降，并且难以充分检查视网膜。因此，即使有可能加重视网膜病变的风险，进行白内障手术也具有诊断和治疗优势。 材料与方法：前瞻性研究评估了150例糖尿病患者与150例非糖尿病患者的白内障手术后的视觉效果和术后并发症。在糖尿病患者中，有114眼为轻度非增生性糖尿病视网膜病变（NPDR），有32眼为中度，有4眼为重度NPDR。使用光学相干断层扫描（OCT）对中心性小凹厚度（CFT）进行测量，以20个均质的糖尿病患者在基线时无增生性视网膜病变或临床上明显的黄斑水肿（CSME），并与20个非糖尿病患者进行比较，以寻找黄斑水肿，在白内障手术之前和之后6周。使用学生的未配对t检验进行定性数据分析。使用卡方检验进行定量数据分析。使用SPSS 17.0版进行分析。结果：要评估的参数为术前和术后6周的CFT，视觉结果和黄斑水肿。糖尿病患者白内障手术后OCT CFT升高的发生率略高。将血糖控制不佳和先前存在的糖尿病性视网膜病与明显的视力下降进行比较，这些患者术后并发症的发生率增加。白内障手术后的术后视力。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号