Evaluation of Visual Outcomes of Cataract Surgery in Diabetic Patients and Assessment of Post-operative Complications as Compared to Non-diabetics
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Introduction: A leading cause of vision loss in the young adult population worldwide is sequelae and complications of diabetes. Cataract surgery performed on diabetic patients accounts for approximately 20% of total cataract surgeries. Cataract in patients with diabetes leads to decreased visual acuity and poses difficulty in examination of the retina adequately. Hence, it is advantageous to perform cataract surgery for diagnostic and therapeutic benefits, even if there is possible associated risk of aggravating the retinopathy. Aim: Evaluation and comparison of visual outcomes after cataract surgery in diabetic and non-diabetic patients; and assessment of post-operative complications. Materials and Methods: A prospective study was done to evaluate visual outcomes and post-operative complications after cataract surgery in 150 diabetics as compared to 150 non-diabetics; among the diabetics, 114 eyes were with mild Non Proliferative Diabetic Retinopathy (NPDR), 32 with moderate and 4 with severe NPDR. Central Foveal Thickness (CFT) measurement using Optical Coherence Tomography (OCT) was done for a homogenous group of 20 diabetics without proliferative retinopathy or Clinically Significant Macular Oedema (CSME) at baseline, and compared to 20 non-diabetics, to look for macular oedema, before and 6 weeks after cataract surgery. Qualitative data analysis was performed using student’s unpaired t-test. Quantitative data analysis was performed using Chi-square test. SPSS version 17.0 was used for analysis. Results: The parameters to be evaluated were CFT, visual outcome and macular oedema before and 6 weeks after surgery. Diabetics showed a marginally higher incidence of increased CFT on OCT after cataract surgery. Poor glycaemic control and pre-existing diabetic retinopathy were compared with a significant decrease of the visual outcomes and these patients had an increased incidence of post-operative complications. Conclusion: Adequate glycaemic control and the management of diabetic retinopathy would help to improve post-operative vision following cataract surgery.
Authors and Affiliations
Neha Singh, Shobha G Pai, Tina Anne John
Keywords
Related Articles
- EP ID EP581906
- DOI 10.7860/JCDR/2019/37529.12711
- Views 105
- Downloads 0
Nitric Oxide: It’s Role in Immunity
Nitric Oxide (NO), a lipophilic gas synthesised by the enzyme Nitric Oxide Synthase (NOS) from the substrate arginine, is an important biomolecule that mediates cellular signaling. It has a wide spectrum of biological fu...
Morphometric Analysis of the Sacrum and its Surgical Implications
ABSTRACT Introduction: The predisposition of the human sacrum to a wide range of traumatic, degenerative and metastatic ailments demands frequent surgical interventions. For effective surgical management of these conditi...
Proliferative Fasciitis in Childhood: A Review of Clinical Data Apropos of a Case
Proliferative Fasciitis (PF) is a benign lesion with histologic and clinical features overlapping with those of malignant soft tissue tumours. Its occurrence in children is considered very rare. We present a case of PF a...
A Rare Case of Giant Solitary Neurofibroma of Abdominal Wall Masked by Pregnancy
Various types of neurogenic tumours can involve the abdomen. Retroperitonial space is most commonly affected but other sites can also be involved. Mostly younger age group is affected and malignant transformation is rare...
Nature’s Benefaction as a Life Saver for an Avulsed Tooth: An In vitro Study
Introduction: Dentoalveolar trauma is a very common and avulsion is the most frequent injury. Treatment of choice following avulsion is immediate reimplantation. However, in cases where this might not be possible the pro...