糖尿病患者白内障围手术期管理及术后并发症的研究进展

Advances in Perioperative Management of Cataract and Postoperative Complications in Patients with Diabetes Mellitus

摘要: 糖尿病是世界上发病率和死亡率最高的疾病之一，到2030年，糖尿病总患病率估计为世界人口的4.4%，在欧洲为8.5%。糖尿病可影响所有眼部结构，其中白内障是最常见的眼部并发症。白内障是全世界致盲的主要原因。由于各种机制，糖尿病患者的白内障发生率远高于非糖尿病人群，而白内障手术是解决问题的唯一途径。随着技术的进步，白内障手术已非常成熟及安全，但术后仍存在发生影响视力预后的并发症的风险。本文拟就糖尿病患者白内障手术围手术期管理、术后并发症的类型及治疗的研究进展作一综述。

Abstract: Diabetes is one of the most prevalent diseases in the world in terms of morbidity and mortality, with the overall prevalence of diabetes estimated to be 4.4% of the world’s population by 2030 and 8.5% in Europe. Diabetes can affect all ocular structures, with cataracts being the most common ocular complication. Cataract is the leading cause of blindness worldwide. Due to various mechanisms, the incidence of cataracts is much higher in diabetics than in non-diabetics, and cataract surgery is the only way to solve the problem. With the advancement of technology, cataract surgery has become very sophisticated and safe, but there is still a risk of postoperative complications affecting the prognosis of vision. In this article, we would like to review the research progress on the perioperative management of cataract surgery in diabetic patients, the types of postoperative complications and their treatment.