摘要
目的探讨老年白内障手术联合玻璃体腔注射雷珠单抗对糖尿病(DM)黄斑水肿。方法收集合并DM的老年白内障患者38例43眼。根据随机数字表法将患者分为观察组和对照组。观察组20例24眼,采用白内障超声乳化术联合玻璃体腔注射雷珠单抗治疗;对照组18例19眼,单纯采用白内障超声乳化术治疗,比较两组治疗前后视力、黄斑中心凹视网膜厚度、眼压的变化。结果治疗后,观察组的矫正视力高于对照组(P<0.05);观察组的黄斑中心视网膜厚度薄于对照组(P<0.05);观察组的眼压低于对照组(P<0.05)。结论白内障术中联合玻璃体腔雷珠单抗注射,能有效减轻术后黄斑水肿程度或减少其发生率,因此明显降低了眼压,提高了视力。
Objective To investigate the diabetic mellitus edema in treating senile cataract surgery combined with vitreous cavity injection.Methods 43 patients with senile cataract and DM were collected and 38 eyes were collected. According to the random number table method, the patients were divided into observation group and control group. Observation group 20 cases （24 eyes）, treated with natalizumab phacoemulsification combined with vitreous cavity injection of thunder, control group 18 cases （19 eyes） were treated with phacoemulsification treating, compared between the two groups before and after treatment of visual acuity, macular central fovea thickness, intraocular pressure changes.Results After treatment, the corrected visual acuity of observation group was higher than the control group （P〈0.05）, the retinal thickness of the observation group was thinner than the control group （P〈0.05）, the IOP of the observation group was＆amp;nbsp;lower than the control group （P〈0.05）.Conclusion The combination of vitreous cavity injection of glass beads in cataract surgery can effectively reduce the degree of postoperative macular edema or reduce its incidence, thus significantly reduce the intraocular pressure and improve the visual acuity.
出处
《中国继续医学教育》
2016年第13期149-151,共3页
China Continuing Medical Education
关键词
白内障手术
玻璃体腔
雷珠单抗
Cataract surgery
Vitreous cavity
Monoclonal antibody
