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題名 | Progression of Diabetic Retinopathy after Phacoemulsification in Diabetic Patients: A Three-Year Analysis=糖尿病病患接受超音波晶體乳化術後糖尿病視網膜病變之進行:三年分析 |
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作者姓名(中文) | 廖述斌; 古婉珍; | 書刊名 | 長庚醫學 |
卷期 | 26:11 2003.11[民92.11] |
頁次 | 頁829-834 |
分類號 | 416.746 |
關鍵詞 | 白內障; 進行; 超音波晶體乳化術; 糖尿病視網膜病變; Diabetic retinopathy; Cataract; Phacoemulsification; Progression; |
語文 | 英文(English) |
中文摘要 | 背景:本篇回溯性研究分析了糖尿病病患接受超音波晶體乳化術後,糖尿病視網膜病變之進行,以決定是否超音波晶體乳化術會造成糖尿病視網膜病變之進行。 方法:在本篇回溯性分析中,我們收集了3年期間內,接受超音波晶體乳化術並於術後追蹤3年之糖尿病病患,從其病歷中取得術前術後視力,及糖尿病視網膜病變之變化,以比較手術眼與未手術眼之差異。 結果:本篇研究共包含37位糖尿病病患,其中14位托受雙眼白內障手術,剩餘之23位接受單眼白內障手術,並以其未手術眼作為對照閆。結果發現不論是術後1年或術後3年,接受手術的眼睛中,術前有輕到中度之非增生型糖尿病視網膜病變的眼睛,比無糖尿病視網膜病變的眼睛有較多比率發生術後糖尿病的眼睛,在發生糖尿病視網膜病變之進行比率上無統計上之差異。在術後1年,51隻手術眼中,33隻(64.7%)眼睛未矯正視力可達20/40,47隻(92.1%)眼睛視力進步達兩行以上。 結論:無併發症之超音波晶體乳化術對術後糖尿病視網膜病變之進行並無顯著之影響。術前有輕到中度之非增生型糖尿病視網膜病變的眼睛有較多比率發生術後糖尿病視網膜病變之進行。對於大多數無糖尿病視網膜病變,或只有輕到中度之非增生型糖尿病視網膜病變的眼睛,超音波晶體乳化術可改善病人之視力。 |
英文摘要 | Background: This retrospective study was conducted to analyze the progression rates of diabetic retinopathy (DR) after phacoemulsification in diabetic patients and to determine whether phacoemulsification cause the rogression of DR. methods: The medical charts of diabetic patients who had undergone cataract surgery using phacoemulsification techniques during a 3-year period and had completed 3 years of follow-up were retrospectively reviewed. Data were collected to evaluate the visual outcomes and progression of DR postoperatively. The retinopathy progression rates of operated and nonoperated eyes were compared. Results: Thirty-seven diabetic patients were enrolled. Binocular cataract surgeries were performed in 14 patients. Monocular cataract surgeries were performed in the remaining 23 patients whose nonoperated fellow eyes served as the control group. The postoperative retinopathy progression rates of eyes with preoperative mild to moderate nonproliferative diabetic retinopathy (NPDR) were significantly greater than eyes without preoperative retinopathy whether at postoperative 1 year or postoperative 3 years. No statistical significance was found for the rate of retinopathy progression between operated and nonoperated eyes at 1 year and 3 years postoperatively. Of 51 operated eyes, 33 (64.7%) achieved an uncorrected visual acuity of 20/40 at 1 year postoperatively, and 47 (92.1%) had improvement of visual acuity of more than two lines. Conclusion: Uncomplicated phocoemulsificaton had no significant influence on the postoperative progression of DR. Patients with preoperative NPDR had greater chances to show postoperative retinopathy progression. The majority of diabetic patients who had no DR or had mild to moderate NPDR achieved visual improvement after phacoemulsification. |
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