糖尿病患者的白内障手术:术前,术后和术后的考虑
Carlos R Garcia-Cabrera1, Natalie A Afshari
1Shiley Eye Institute, University of California San Diego, La Jolla, California, USA.
Current opinion in ophthalmology
|December 4, 2025
概括
优化糖尿病患者的白内障手术需要个性化,视网膜整合的方法. 该策略侧重于炎症控制和黄斑保护,超越固定的血糖值以获得更好的结果.
科学领域:
- 眼科医生 眼科 眼科
- 糖尿病学 糖尿病学
- 手术创新 在外科创新.
背景情况:
- 糖尿病严重影响白内障手术阶段,从术前评估到术后愈合.
- 糖尿病的全球流行率不断上升,需要基于证据的策略来优化这些患者的手术结果.
研究的目的:
- 审查目前基于证据的战略,以优化糖尿病患者白内障手术的结果.
- 突出介绍经过白内障手术的糖尿病患者在术后护理和手术决策方面的进展.
主要方法:
- 关于糖尿病患者白内障手术的最新研究的综述.
- 分析整合视网膜联合管理和光学连贯性断层扫描 (OCT) 的方法.
- 对外科手术期间的抗炎疗法和透镜选择标准的评估.
主要成果:
- 固定的糖化血红蛋白 (HbA1c) 值不足以确定手术时间;建议采用斑点第一方法.
- 眼睛表面优化可以提高生物识别的准确性;积极的抗炎策略至关重要.
- 在患有糖尿病黄斑病的眼睛中,应避免使用多焦内眼镜;对于糖尿病黄斑水 (DME),可以使用内眼镜疗法.
结论:
- 糖尿病患者的白内障手术需要个性化,视网膜整合的策略,强调炎症控制和黄斑健康.
- 以公平为导向,以OCT为基础的途径对于改善糖尿病患者群体的外科治疗结果和获取机会至关重要.
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