Clinical Efficacy of Vitrectomy Combined with Cataract Surgery in Treatment of Proliferative Diabetic Retinopathy
10.13241/j.cnki.pmb.2017.25.039
- VernacularTitle:玻璃体切割联合白内障手术治疗增殖性糖尿病视网膜病变中的疗效
- Author:
Ying WANG
;
Ji YU
;
Jun LI
;
Xueyi CHEN
- Keywords:
Diabetes;
Retinopathy;
Vitrectomy;
Cataract surgery
- From:
Progress in Modern Biomedicine
2017;17(25):4959-4962
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical efficacy of vitrectomy combined with cataract surgery enin the treatmt of proliferative diabetic retinopathy.Methods:90 patients of proliferative diabetic retinopathy who were treated from January 2013 to June 2016 in our hospital were selected.According to random number table,those patients were divided into the observation group (n=45) and the control group (n=45).The control group was treated with vitrectomy+lentectomy,while the observation group was treated with vitrectomy+ phacoemulsification.Then the best corrected visual acuity,tear interleukin (IL)-2,fluorescein (FL),breakup time of tear film (BUT) and Schirmer test(SIt) and incidence of complications were compared.Results:After operation,the best corrected visual acuity of observation group was better than that of the control group(P＜0.05);the tear IL-2 level in the observation group was significantly higher than that of the control group (P＜0.05);the FL in the observation group was significantly lower than that of the control group,the BUT and SIt were significantly higher than those of the control group (P ＜ 0.05);the incidence rate of capsular opacity,iris neovascularization,corneal edema,xerophthalmia in the observation group was significantly lower than that of the control group (P ＜0.05).Conclusion:Vitrectomy combined with phacoemulsification was effective for proliferative diabetic retinopathy,which could promote the recovery of visual acuity after surgery,improvement of tear secretio and decrease the complications.
