方法：我科2009-12/2010-12对32例46眼糖尿病白内障患者实施超声乳化+人工晶状体植入术，术前除常规裂隙灯、眼压、B超检查外，行电脑验光，必要时行FFA检查。并对血糖进行检测。手术采用美国爱尔康公司Legacy超声乳化仪，德国蔡司VlSu150手术显微镜。做透明角膜切口，切口长度约2.8mm。术后随访1～3mo。

结果：术后3mo最佳矫正视力0.3～者12眼，≥0.5者23眼。患有糖尿病视网膜病变的15眼中，术后3mo矫正视力≥0.5者12眼，其余3眼视力无提高，均为糖尿病视网膜病变Ⅲ～Ⅳ期者。术中术后并发症：角膜水肿10眼，迟发性葡萄膜炎6眼，术后高眼压4眼，后发性白内障3眼，后囊膜破裂1眼。

结论：超声乳化+人工晶状体植入术对于糖尿病白内障是一种较理想的治疗方法。

METHODS: From December 2009 to December 2010, 32 cases of diabetic cataract patients 46 eyes in our department underwent phacoemulsification and IOL implantation, preoperative conventional slit-lamp, intraocular pressure measurement, B-ultrasound was performed, and besides, computer optometry, if necessary, FFA inspection, and glucose was detected. Surgery was performed using Alcon Legacy phacoemulsification instrument, Germany Zeiss VlSu150 surgical microscope. Clear corneal incision was made, which was about 2.8mm long, and the postoperative follow-up was 1-3 months.

RESULTS: Three months postoperatively, 12 eyes were with best-corrected visual acuity>0.3, 23 eyes were≥0.5. Of the 15 eyes with diabetic retinopathy, 12 eyes were with corrected visual acuity≥0.5, the rest 3 eyes had no visual iprovement, the diabetic retinopathy was in Ⅲ-Ⅳ grade. Postoperative complications included corneal edema in 10 eyes. delayed uveitis in 6 eyes, postoperative hypertension in 4 eyes. after cataract in 3 eyes and posterior capsular rupture in 1 eye.

CONCLUSION: Phacoemulsification and IOL implantation is an ideal method for treating diabetes complicated with cataract.