cataract with diabetic macular edema
Conditions
Interventions
two step therapy group:Cataract extraction was performed 5-7 days after intravitreal injection of anti VEGF
combined treatment group:Phacoemulsification combined with intravitreal injection of anti VEGF
Sponsors
Tianjin First Central Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All patients have stable control of blood pressure, blood glucose, blood lipids and other indicators, and no other serious systemic diseases except for type 2 diabetes; all patients undergo medical diagnosis and treatment before surgery, fasting blood glucose is controlled below 8.3mmol/L, and glycosylated hemoglobin is controlled at 5%- 7%; blood pressure is controlled below 150/90mmHg; blood lipid level is controlled within the normal range. 2. All patients underwent visual acuity, intraocular pressure, slit lamp, fundus mirror, fundus fluorescein angiography, and optical coherence tomography examination, with moderate cataract, nuclear 2-3 grade; 3. The patient's eye examination showed non-proliferative diabetic retinopathy with mild to moderate DME (CMT 250µm-450µm); 4. The patients and their families voluntarily participated in the study and signed an informed consent form.
Exclusion criteria
Exclusion criteria: 1. Poor control of preoperative blood pressure, blood sugar, blood lipids and other indicators; 2. Patients with severe cardiovascular and cerebrovascular diseases, insufficiency of major organs, who cannot tolerate surgery; 3. Patients who have a history of ocular trauma, glaucoma, high myopia, other eye diseases, or other internal eye surgery that may affect the evaluation of postoperative efficacy before being enrolled; 4. Those who cannot adhere to follow-up and treatment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| central macular thickness; | — |
Secondary
| Measure | Time frame |
|---|---|
| best corrected visual acuity;intraocular pressure;Previous section; | — |
Countries
China
Contacts
Public ContactMa Cheng
Tianjin First Central Hospital
Outcome results
None listed