摘要近年来我国糖尿病患病率逐渐升高,需接受白内障手术的糖尿病患者也逐渐增多.与年龄相关性白内障相比,糖尿病患者白内障发病早,进展快,患病率更高,也更易发生手术并发症.糖尿病患者白内障术后常见的并发症包括后发性白内障、角膜相关并发症和黄斑囊样水肿等.糖尿病患者白内障的治疗方法相对复杂,术前需综合考虑患者血糖水平、白内障严重程度、糖尿病视网膜病变程度以及是否存在糖尿病性黄斑水肿等,从而选择合适的手术时机、合理的治疗方式和策略.临床医生应在治疗全身病的基础上根据患者具体情况制定适宜的治疗方案以进行个体化治疗,更要重视对术后眼底情况的评估和随访.

abstractsAs the increases of morbidity of diabetes, the cataract patients with diabetes mellitus requiring surgery is gradually increasing. Compared with age-related cataract, cataract patients with diabetes mellitus showed earlier onset,faster developing,higher prevalence and more postoperative complications,including posterior capsular opacification,corneal-related complications and cystoid macular edema. The therapy of cataract with diabetes is relatively complicated. The blood glucose level, the severity of cataract, diabetic retinopathy and diabetic macular edema need to be considered in order to choose the optimal operation timing and corresponding therapeutic methods. Therefore,individualized treatment should be carried out based on the controlling of systemic diseases, and more attention should be paid to the following-up of diabetic retinopathy after cataract surgery.