Changes in cornea after phacoemulsification in diabetic patients
10.13389/j.cnki.rao.2017.0218
- VernacularTitle:糖尿病性白内障超声乳化术后角膜的变化
- Author:
Xuhua SONG
;
Liping CHEN
;
Zhenyou ZHENG
;
Xiaoyan CHEN
- Keywords:
diabetic cataract;
phacoemulsification;
tear film;
corneal endothelium;
corneal thickness
- From:
Recent Advances in Ophthalmology
2017;37(9):860-862
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of phacoemulsification on the corneal endothelium and thickness of diabetic cataract patients.Methods Cataract surgery of phacoemulsification with intraocular lens implantation was performed on together 348 eyes of 348 patients,including 96 eyes of 96 patients suffered from type 2 diabetes (diabetic group) and 252 eyes of 252 patients suffered from senile cataract (elderly group).Then,tear break-up time,basal tear secretion,corneal endothelial density and central corneal thickness were detected before surgery and 1 week,4 weeks and 8 weeks after surgery.Results There were significant difference in tear break-up time,basal tear secretion,corneal endothelial density and central corneal thickness before surgery and 1 week,4 weeks and 8 weeks after surgery between the two groups (all P ＜0.05).There were significant difference in corneal endothelial density (all P ＜ 0.05),but there was no significant difference in tear break-up time,basal tear secretion and central corneal thickness before and after surgery in the elderly group (all P ＞ 0.05).Intergroup comparison of tear break-up time,basal tear secretion,corneal endothelial density and central corneal thickness were significantly different before and after operation (all P ＜ 0.05).Conclusion Cataract surgery of phacoemulsification can achieve satisfying outcomes and it is crucial to protect the corneal endothelium and ocular surfacetissue intraoperatively and postoperatively for the patient with diabetic cataract.
