Outcome of cataract surgery in diabetic and non-diabetic patients: a comparative study
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 11, Pages 5424-5430
AbstractBackground: 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. Hence the present study aimed at comparison of outcomes after cataract surgery in diabetic and non-diabetic patients
Materials and Methods: A prospective study was done to compare outcome of cataract surgery in 200 diabetics as compared to 200 non-diabetics Within 10 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 10 days, three month and six months’ time in all the subjects.
Results A total of 200 diabetic patients were included in the study group while another 200 non-diabetic patients comprised of control group. Mean age of subjects in the study group and control group was 51.6 and 55.5 years respectively .In diabetic and non diabetic group 96 and 104 were males respectively and 104 and 96 were female diabetic and non diabetic respectively .At 10days time, the occurrence of Post- surgical visual acuity in diabetic group and non-diabetic group was found to be 0.16 and 0.23 respectively.
Conclusion: Diabetic patients should not be refused for cataract surgeries. However, there is a need for taking of extra- precautions in such patients.
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