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[Clinical studies of phacoemulsification combined with intraocular lens implantation in diabetics].

PURPOSE
To investigate the clinical results of phacoemulsification combined with intraocular lens implantation in diabetics.


METHODS
All patients were divided into two groups, which there were 50 cases (61 eyes) with diabetics in the group A and 163 cases (174 eyes) without diabetics in the group B. All cases were treated with phacoemulsification combined with intraocular lens implantation. The level of the fasting blood-glucose in the diabetics must be controlled under 10 mmol/L by the dietotherapy, oral antihyperglycemic or insulin therapy before operation. The follow-up period was 1-28 months, average 8.6 months.


RESULTS
The post-operative corrected visual acuities of 0.5 or better were achieved in 47 of 61 (77.1%) eyes in group A and in 140 of 174 (80.5%) eyes in group B, it was statistically no significant difference between the two groups (P > 0.05). The comparison between the two groups showed that there was no significant difference in the intra-operative or post-operative complications(P > 0.05).


CONCLUSIONS
As long as the level of the blood surgar was controlled effectively, the treatment of phacoemulsification in diabetics was safe and effective as same as the patients without diabetics. It is very important to control the level of the blood sugar for maintaining the post-operative effect.