Clinical Effect Research Of 1.8mm Microincision Phacoemulsification Surgery For Diabetic Cataract

PURPOSE:To study the clinical effect and postoperative complications of 1.8mm microincision phacoemulsification( MICS) combined foldable intraocular lens implantation(IOL) in patients with cataract combined diabetes by collected best intraoperative phacomulsification dissipated energy(DE), phacoemulsification time(PT),best corrected visual acuity(BCVA),central macular thickness(CMT), endothelial cell density(ECD), and central corneal thickness(CCT).METHODS: This is a retrospective study. Diabetic cataract group(DC group):74 eyes from cataract patients with diabetes.Age-related cataract group(AC group):74 eyes from cataract patients without diabetes.All patients underwent MICS combined foldable IOL. BCVA, CMT, ECD, CCT and DE and PT were recorded postoperatively. All cases were followed up at 1d,7d and 30 d after operation.SPSS 20.0 program was used to compare measurement data in the groups.RESULTS:There was no statistically significant difference in age,sex,DE or PT between two groups(P>0.05). Postoperative BCVA was significantly higher than the initial during the follow-up period in both groups(p < 0.05). There was no statistically significant difference in BCVA preoperatively in both group.The BCVA 7days and 30 days after surgery was significantly higher in control group than in DC group(p < 0.05). The mean CMT was statistically significantly higher in DC group than in AC group during the follow-up period(p < 0.05).There was no statistically significant difference in ECD between two groups preoperatively and postoperatively during the follow-up period(p > 0.05).The CCT in DC group was statistically significantly lower than in AC group preoperatively and postoperatively(p < 0.05).But there was no statistically significant difference in CCT difference(P>0.05).CONCLUSION:1.8mm microincision phacoemulsification( MICS) combined foldable intraocular lens implantation(IOL) is safe and effective that has small incision,less postoperative complications and lighter inflammation can effectly improve visual acuity.