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The changes of optical coherence tomography images of the macula after phacoemulsification in diabetics
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
- Issue:
- 3
- DOI:
- 10.3760/j.issn:1005-1015.2001.03.002
- Key Word:
- 糖尿病/治疗;白内障摘除术;黄斑/病理生理学;光学相干断层扫描术
Abstract： 目的观察超声乳化白内障吸出术对糖尿病患者黄斑结构的影响. 方法对比分析30例行超声乳化白内障吸出术的糖尿病患者手术眼与对侧未手术眼以及30例无糖尿病行超声乳化白内障吸出术者手术前及术后1 d、1个月时黄斑中心凹厚度的光学相干断层扫描(optical coherence tomography, OCT)测量资料. 结果糖尿病患者白内障超声乳化手术眼手术前黄斑中心凹的平均厚度为(148.5±27.7)μm,术后平均厚度为(219.4±68.23) μm,二者比较差异有显著性意义(P＜0.05);未手术眼初次检查黄斑中心凹平均厚度为(147.4±27.5) μm,1个月后复查为(148.2±27.3) μm,二者比较差异无显著性意义(P＞0.05).无糖尿病行白内障超声乳化手术眼术前黄斑中心凹平均厚度为(142.37±12.7) μm,术后为(151.9±23.7) μm,二者比较差异无显著性意义(P＞0.05).糖尿病患者白内障超声乳化手术组术后新增黄斑水肿11只眼,原有黄斑水肿的6只眼中3只眼水肿较术前加重. 结论糖尿病患者白内障超声乳化吸出术后视网膜厚度明显增加,黄斑水肿的发生率较高,黄斑水肿的程度较重.
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