目的：探讨糖化血红蛋白(HbA1c)水平与糖尿病白内障患者术后1mo视力、眼压、并发症、黄斑中心凹厚度的关系。

方法：回顾性分析2018-01/12我院糖尿病白内障患者56例66眼，根据术前HbA1c水平将患者分为A组(正常HbA1c组，HbA1c≤6.0%)和B组(高HbA1c组，6.0%结果：两组患者术后BCVA均有明显提高。两组患者术后1mo眼压比较无差异(P>0.05)。术后并发症主要有前房反应、一过性眼压增高、角膜水肿、黄斑水肿，A组发生率为56%，B组为88%，B组并发症较A组高(P=0.029)。B组黄斑中心凹厚度高于A组，且两组黄斑中心凹厚度术后高于术前，B组术后增加厚度比A组更明显(P<0.05)。

结论：高HbA1c组与正常HbA1c组相比，术后并发症多，黄斑中心凹厚度高，术后视力差。因此，糖尿病患者术前HbA1c水平可能与白内障术后的并发症、黄斑中心凹厚度有关。

METHODS: A retrospective analysis of diabetic patients submitted to cataract surgery over the period January 2018 to December 2018 in our hospital, a total of 56 cases(66 eyes)were selected and divided into normal HbA1C group(HbA1c≤6.0%)of 30 cases(34 eyes)and high HbA1C group(6.0%RESULTS: The BCVA after surgery were significantly improved in two groups. The differences between group A and group B(whether preoperative or postoperative)was not statistically significant(P>0.05). Postoperative complications included anterior chamber reaction, transient intraocular pressure, corneal edema, and macular edema. The incidence rate was significantly higher in group B(88%)than in group A(56%)(P=0.029). The retinal thickness of foveal was higher in group B than in group A, and higher postoperative than preoperative, and the postoperative thickening was more obvious in group B than in group A, and the differences were statistically significant(P<0.05).

CONCLUSION: Compared with the normal HbA1c group, the high HbA1c group had more postoperative complications, higher foveal thickness of the macula, and worse postoperative visual acuity. Therefore, preoperative HbA1c levels in diabetic patients may be related to complications after cataract surgery and foveal thickness of the macula.