Assessment of intra-operative and post-operative complications, as well as visual acuity, in diabetics and non-diabetics undergoing cataract surgery.
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 1, Pages 2297-2303
AbstractAim: The aim of this study comparison of outcomes after cataract surgery in diabetic and non-diabetic patients.
Methods: A prospective study was done to comparison outcome of cataract surgery in 120 diabetics as compared to 120 nondiabetics Within 15 days of Cataract surgery, all the patients underwent fasting blood glucose analysis. Recording of the complete intra-surgical and post- surgical complications along with visual acuity was done at 15 days, three month and six months’ time in all the subjects.
Results: In diabetic group 53(44.17%) were females and 67(55.83%) were males. Among the non-diabetics, 70 (58.33%) were males & 50(41.67%) were females. At 15 days time, the occurrence of Post- surgical visual acuity in diabetic group and non-diabetic group was found to be 0.19 and 0.27 respectively. At three month’s time, the occurrence of Post- surgical visual acuity in the diabetic group and the non-diabetic group was found to be 0.27 and 0.38 respectively (table 2). Glycemic control was assessed using fasting blood sugar levels at the time of admission. Of the 120 patients in the diabetic group, 45(37.5%) had high blood glucose level (FBS: >100mg/dl). Their blood sugar was controlled and they were operated. 75(62.5%) patients had normal blood sugar levels at the time of examination (70-100mg/dl). Non- significant results were obtained while comparing the mean. Post- surgical visual acuity in between the two study groups at different time intervals (p value > 0.05). Striate keratopathy Was most commonly encountered post- surgical complication in the diabetic group n=17 (14.17%) and the non-diabetic group n=11(9.17%).and followed by Posterior capsular opacity n=15(12.5%) and n=9(7.5%) and Posterior capsular rent 11.67% and 6.67% in diabetic and non-diabetic, Pigment dispersion 10.83% and 7.5% per in diabetic and non-diabetic patatients respectively
Conclusion: Small incision cataract surgery in diabetics without diabetic retinopathy yields similar visual outcomes as non-diabetics. There is a higher incidence of post-operative complications among diabetics, which can be managed conservatively.
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