Study of Outcome of Cataract Surgery in Diabetic and Non-Diabetic Patients
Journal Title: Ophthalmology and Allied Sciences - Year 2019, Vol 5, Issue 1
Abstract
Aims & Objectives: To evaluate the postoperative visual acuity and complications in diabetics and non-diabetics with cataract surgery Method: A prospective case study of 100 eyes group A 50 eyes of diabetic and group B 50 eyes of non–diabetic all cases were operated by single surgeon. Patients underwent minimal incision cataract surgery SICS with PCIOL. Age group was taken 30 to 60years and above with good glycaemic control, surgical technique, and preoperatively and postoperative follow up day 1, POD 1week , 6weeks respectively, complication and ocular evaluation done with visual acuity (BCVA). Results: Total 100 eyes 50 diabetic and 50 non-diabetics 41 males and 59 females. The mean age group in diabetic was 57.66 ± 8.29 years and 57 ± 7.27 years in non-diabetic group. All cases underwent SICS with PCIOL. Mean preoperative visual acuity in the diabetic patients group A was 1.28 + 0.42 and non-diabetic patients group B was 1.37 +0.59. Mean post-operative best corrected visual acuity in log MAR units in the diabetic group A was 0.30 + 0.4 and in the group, B was 0.28 +0.5. The difference in pre and post op visual outcome was statistically not significant (p=0.01). Post-operative visual acuity of 6/9 or better was achieved in 36 (72%) eyes in diabetics and 40 (80%) among non-diabetics. Post-operative complications like Wound malposition, corneal oedema, striate keratopathy, anterior chamber reaction, pigment dispersion, cystoids macular edema and posterior capsular opacification. This incidence was higher in the diabetics (p<0.01). Conclusion: Patients with no diabetic retinopathy or maculopathy do not require any special management if cataract surgery was uncomplicated. Visual acuity is similar in both groups. Post-operative complications like corneal oedema and anterior chamber reaction are more common in diabetics.
Authors and Affiliations
Sharanabasamma M
Keywords
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- EP ID EP648691
- DOI 10.21088/oas.2454.7816.5119.12
- Views 79
- Downloads 0
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