Abstract：Objective: To study the effect of different phacoemulsification incision on ocular surface of diabetic patients. Methods: 120 cases of diabetic patients with cataract in our hospital were selected as the research object, all of them received phacoemulsification. The patients were divided into three groups, 40 cases and 40 eyes in each group. Group A was treated with limbal incision, group B was treated with upper clear corneal incision, and group C was treated with temporal clear corneal incision. Dry eye symptom score, corneal fluorescein staining (FL) score, tear film break-up time (but) and basic tear secretion test (SIT) were evaluated before operation and 1, 7, 14, 30 days after operation. Results: Postoperative dry eye symptom scores increased, BUT shortened, FL score increased, and SIt decreased in all three groups. In addition, postoperative index recovery of group A was significantly better than that of group B and Group C (both P<0.05). Conclusion: In phacoemulsification, corneoscleral incision has little effect on tear film stability and good safety.
[1] Ang RET,Quinto MMS,Cruz EM,et al.Comparison of clinical outcomes between femtosecond laser-assisted versus conventional phacoemulsification[J].Eye Vis,2018,5(1):8. [2] Ren Y,Fang X,Fang A,et al.Phacoemulsification with 3.0 and 2.0 mm opposite clear corneal incisions for correction of corneal astigmatism.[J].Cornea,2019,38(9):1105~1110. [3] Song E,Li X,Bi MC,et al.comparison of surgical efficacy between a 1.8-mm microincision and 3.2-mm and 5.5-mm incisions for phacoemulsification[J].Int Ophthalmol,2018,11(3):172~175. [4] Naderi K,Gormley J,O'Brart D.Cataract surgery and dry eye disease: a review[J].European journal of ophthalmology,2020,30(5):840~855. [5] 陈奇盛,张萍,梁慧.阿托伐他汀钙对中老年2型糖尿病合并冠心病的疗效分析[J].广西医科大学学报,2018,35(6):858~861. [6] Roberts HW,Wagh VK,Sullivan DL,et al.Refractive outcomes after limbal relaxing incisions or femtosecond laser arcuate keratotomy to manage corneal astigmatism at the time of cataract surgery[J].Cataract Refract Surg,2018,44(8):955~963. [7] Donthineni PR,Das AV,Shanbhag SS,et al.Cataract surgery in dry eye disease: visual outcomes and complications[J].Frontiers in medicine,2020,7(7):575834. [8] Ying LL,Xiao NP,Guo KY.Clinical analysis of two different incisions of coaxial phacoemulsification[J].International Eye Science,2018,3(14):125~129. [9] Ammous I,Bouayed E,Mabrouk S,et al.Phacoemulsification versus manual small incision cataract surgery: anatomic and functional results[J].Journal Francais D'ophtalmologie,2017,40(6):460~466.
2021, Vol. 27 
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