Guoji Yanke Zazhi (Jun 2013)

Clinical effect analysis of phacoemulsification on cataract patients with diabetes mellitus

  • Bin Wang,
  • Jin-Xia Li,
  • Ying-Li Wang,
  • Bin-Ge Wu,
  • Jian-Xin Huo

DOI
https://doi.org/10.3980/j.issn.1672-5123.2013.06.26
Journal volume & issue
Vol. 13, no. 6
pp. 1163 – 1166

Abstract

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AIM: To observe the clinical outcome of Phacoemulsification(Phaco)and IOL implantation on cataract patients with diabetes mellitus(DM)and analyze factors influencing visual acuity after Phaco. METHODS:Phacoemulsification and IOL implantation were applied to 40 cataract patients(62 eyes)with type II DM(research group)and 60 cataract patients(82 eyes, control group)between January 2010 and December 2010. Visual acuity was measured 1 day, 1 week, 1 month, 3 months and 6 months post-operation. Central corneal thickness and endothelial cells count were examined pre-operation and 1 day, 1 week, 1 month, 3 months and 6 months post-operation. Fundus was examined under pupil dilatation 3 months and 6 months post-operation. In research group, 41 eyes were observed with non-diabetic retinopathy(NDR)and 21 eyes with DR. RESULTS: Best corrected visual acuity(BCVA): 1 day, 1 week and 1 month post-operation, significant difference was observed between research group and control group(PP>0.05). Significant difference was observed between NDR and DR as well as between DR and control(PP>0.05). Significant difference was observed between DR and control(PPP>0.05). When measured 1 day, 1 week post-operation, both groups have significant differences compared to pre-operation result(PPP>0.05). Six months post-operation, there was no significant difference compared to pre-operation result between 2 groups(P>0.05). Corneal endothelial cells count: No significant difference was observed between 2 groups pre-operation(P>0.05). Significant differences were observed between 2 groups when measured 1 day, 1 week, 1 month, 3 months and 6 months post-operation(PPCONCLUSION: For DM patients after Phaco, key incipient influencing factor of VA is transient cornea edema, while chief factor influencing VA in mid-term is concomitant DR. More severe endothelial damage and recovery retardation of corneal edema were observed in cataract patients with DM after Phaco.

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