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目的研究分析本院9例糖尿病并发白内障患者的临床病症、危险因素以及治疗对策。方法回顾性分析9例糖尿病并发白内障患者的临床资料,包括患者的具体病情、治疗经过以及出院后的随访记录等,总结治疗经验。结果 9例患者血糖均降至正常,在此期间白内障发展缓慢或不发展。同时,9例患者在出院后2年内的随访中,均未出现明显的复发迹象,也未见有不良反应或并发症情况出现。此外,9例患者术后视力均得到了良好的恢复,视力较术前基本提高了0.1及以上,眼底的病变情况趋于稳定。结论对糖尿病并发白内障患者可在血糖控制下行白内障超声乳化手术和人工晶体植入术予以治疗,应当给予糖尿病并发白内障患者充分的重视,不可对其中任意一种疾病忽视,提升患者生活质量。
Objective To study and analyze the clinical symptoms, risk factors and treatment strategies of 9 patients with diabetes mellitus complicated with cataract. Methods The clinical data of 9 patients with diabetes mellitus complicated with cataract were retrospectively analyzed, including the specific condition of the patients, the treatment and the follow-up records after discharge. The treatment experience was summarized. Results The blood glucose in all 9 patients dropped to normal, during which period cataract developed slowly or not. At the same time, no significant recurrence was observed in 9 patients after follow-up within 2 years after discharge, and no adverse reactions or complications occurred. In addition, 9 cases of patients with postoperative visual acuity have been a good recovery, visual acuity than the preoperative basic increase of 0.1 and above, retinal lesions tend to be stable. Conclusions Patients with diabetes mellitus complicated with cataract can be treated with phacoemulsification and intraocular lens implantation under the control of blood glucose. All patients with diabetes mellitus and cataracts should be given sufficient attention. Any one of these diseases should not be ignored and the quality of life should be improved.