Analysis of macular edema and changes of visual acuity after cataract surgery in patients with DM fundus lesions
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 18, Issue 12
Abstract
AIM: To investigate the condition of visual acuity and macular edema after cataract surgery in diabetes mellitus(DM)patients with fundus lesions. <p>METHODS: Totally 97 eyes of 97 patients with cataract and DM fundus lesion treated in our hospital from January 2016 to September 2017 were selected, and were divided into the observation group A, 43 cases 43 eyes(DM duration <5a), observation group B, 54 cases 54 eyes(DM duration ≥5a). Besides, 60 eyes of 60 patients with simple cataract were selected as the control group. The best corrected visual acuity(BCVA)and macular retinal thickness(foveal area, inner ring area, outer ring area), and the retinal mean sensitivity(MS)were observed before and after the treatment. <p>RESULTS: BCVA in control group and observation Group A was better than that in observation Group B(0.24±0.09)at 1mo after operation, and the difference was statistically significant(<i>P</i><0.05). The thickness of fovea, inner ring and outer ring in Group B were 283.30±17.06μm, 335.51±20.26μm and 297.28±20.22μm, which were significantly higher than those in Group A and control group, and the difference was statistically significant(<i>P</i><0.05). The MS in Group B(11.54±1.89dB)were obviously lower than the observation Group A and the control group, the difference was statistically significant(<i>P</i><0.05). After 3mo, the total leakage rate of Group B(55.6%)was significantly higher than that of Group A and control group(<i>P</i><0.0167). <p>CONCLUSION: Compared with simple cataract patients, the retinal thickness of patients with DM fundus disease is significantly increased, which is easy to has macular edema, and affects postoperative visual acuity recovery, in the patients with longer DM course which are especially obvious.
Authors and Affiliations
Juan Zhu
Keywords
Related Articles
- EP ID EP501651
- DOI 10.3980/j.issn.1672-5123.2018.12.26
- Views 142
- Downloads 0
Application of optical coherence tomography measuring RNFL thickness in the early diagnosis of primary angle-closure glaucoma
AIM: To investigate the application of optical coherence tomography(OCT)measurement of retinal nerve fiber layer(RNFL)thickness in early diagnosis of primary angle closure glaucoma(PACG). <p>METHODS:Totally 100 patients(...
Changes of retinal nerve fiber layer thickness in patients with different types of angle-closure glaucoma
AIM: To investigate the changes and significance of retinal nerve fiber layer(RNFL)thickness in patients with acute and chronic angle-closure glaucoma. <p>METHODS: Totally 37 patients(40 eyes)with acute angle-closure gla...
Different lens chopping techniques during the phacoemulsification in age-related cataract patients
AIM: To discuss the curative effect of different chopping techniques on hard nuclear during the phacoemulsification in age-related cataract. <p>METHODS: Totally 200 elderly patients(264 eyes)with age-related cataract wer...
Mild form disseminated photocoagulation treatment for moderate non-proliferative diabetic retinopathy
AIM:To observe the therapeutic effect of the mild form disseminated photocoagulation treatment for moderate non-proliferative diabetic retinopathy(MNPDR). <p>METHODS: Prospective randomized controlled study. Totally 126...
Comparison of quality of life following unilateral or bilateral Symfony implantation
AIM: To compare the postoperative quality of life between patients who underwent binocular and unilateral Symfony continuous-vision intraocular lens(IOL)implantation. <p>METHODS: A population-based cross-sectional study...