Effect of micro - incision cataract phacoemulsification on ocular surface in type 2 diabetics
10.3980/j.issn.1672-5123.2016.10.22
- VernacularTitle:微切口超声乳化术对糖尿病合并白内障患者眼表的影响
- Author:
Shao-Wei, ZHANG
;
Xiao-Chun, MAO
;
Qin, LI
- Publication Type:Journal Article
- Keywords:
phacoemulsification;
cornea incision;
ocular surface;
tear film;
diabetes
- From:
International Eye Science
2016;16(10):1875-1878
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To explore the effect of different corneal incision size on change in tear function after phacoemulsification cataract surgery in type 2 diabetics.
●METHODS:One hundred and fifty patients with type 2 diabetes (150 eyes) from Jan. 2015 to Oct. 2015 in our hospital were enrolled. The patients were randomly divided into two groups. Seventy-five patients (75 eyes) in group A: coaxial 2. 2mm micro - incision phacoemulsification cataract extraction and intraocular lens (lOL) implantation; seventy-five patients (75 eyes) in group B:the conventional coaxial 3. 0mm small incision phacoemulsification cataract extraction and lOL implantation. The difference of demographic characteristics between two groups were insignificant. The ocular surface disease index ( OSDl ) , corneal sensation, break up time (BUT) and Schirmer′sltest(Slt) were examined preoperatively and 1wk, 1, 3 and 6mo postoperatively.
●RESULTS:At 1wk, 1 and 3mo postoperatively, the OSDl score in two groups increased and the OSDl score of group B was significantly higher than those of group A and the differences were statistically significant ( all P<0. 05 ) . The corneal sensation in two groups decreased after operations and the corneal sensation of group B was significantly lower than those of group A and the differences were statistically significant (all P<0. 05). The Slt in two groups decreased after operations and the Slt of group B was significantly lower than those of group A and the differences were statistically significant (all P<0. 05). At 1wk and 1mo postoperatively, the BUT in two groups decreased after operations and the BUT of group B was significantly lower than those of group A and the differences were statistically significant (all P<0. 05). At 6mo postoperatively, no significant change was found in the OSDl score, corneal sensation, BUT and S l t of group A compared with preoperatively (all P>0. 05). At 6mo postoperatively, the differences of OSDl score and corneal sensation in group B were statistically significant compared with preoperatively ( all P< 0. 05 ) while no significant change was found in the BUT and S l t of group B (all P>0. 05).
●CONCLUSION:Phacoemulsification surgery with 2. 2mm corneal micro-incision has less effect on change in tear function comparing to the 3. 0 mm incision control, which can be applied particularly in patients with type 2 diabetes.
