在糖尿病患者和非糖尿病患者中化过程的视觉结果和并发症概况
Nabanita Jena1, Sudeep Saran2, Aditi Mishra3
1Department of Medical Surgical Nursing, Mother Theresa Postgraduate and Research Institute of Health Sciences, Affiliated to Pondicherry University, Puducherry, IND.
Cureus
|February 20, 2026
概括
糖尿病患者在白内障手术期间面临更高的风险,但良好的血糖控制和量身定制的护理可以导致与非糖尿病患者相似的结果. 本综述突出了优化糖尿病患者发酵的最佳实践.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 手术科学 手术科学
背景情况:
- 糖尿病显著增加了白内障手术 (phacoemulsification) 的风险,原因是系统和眼部的变化.
- 全球糖尿病患病率不断上升,使得糖尿病患者的白内障手术变得越来越常见,需要了解特定的风险.
研究的目的:
- 系统地比较糖尿病患者和非糖尿病患者的发泡乳化视觉结果和并发症概况.
- 确定最佳实践和未来的研究方向,以管理糖尿病患者的白内障手术.
主要方法:
- 对2020年至2025年期间发表的符合条件的研究进行叙述性审查.
- 在PubMed,Scopus和Web of Science中使用MeSH和自由文本术语进行文献搜索.
- 数据以主题合成,重点关注手术期间的挑战,视力敏度,黄斑健康,辅助疗法和预后.
主要成果:
- 糖尿病患者患有瞳孔扩张不良,囊脆弱,黄斑胀和视力恢复缓慢的风险增加.
- 结果可以接近非糖尿病患者的最佳血糖控制,手术前视网膜评估和辅助疗法.
- 量身定制的术后管理和跨学科护理对于糖尿病白内障手术的成功至关重要.
结论:
- 虽然糖尿病患者在化过程中面临着独特的挑战,但通过仔细管理,可以显著改善结果.
- 强调术前评估,血糖控制和量身定制的手术方法对于优化视觉结果和患者满意度至关重要.
- 未来的研究应该在这个人群中探索分层风险评估和长期视觉预后.
相关概念视频
Glaucoma: Overview
1.7K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.7K
Open Angle Glaucoma: Treatment
1.1K
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
1.1K
Angle Closure Glaucoma: Treatment
1.6K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.6K
Complications of Diabetes Mellitus
35
Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...
35
Diabetic Retinopathy
55
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
55
Diabetic Nephropathy
32
Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration...
32


