Abstract
Objective: Present Study was conducted to assess the development and progression of Diabetic Retinopathy after cataract surgery.
Materials and Method: A total of 68 patients more that 60 years of age, one eye of each undergone cataract surgery were included in the study. The Wisconsin scale was used for the grading of retinopathy. Preoperative and 1-month postoperative (baseline) were compared side by side with 12-months postoperative fundus examination.
Result: Out of 68 patients 45 eyes (66.18%) there was no change in the retinal status postoperatively, in 23 eyes (33.82%) there was postoperative progression of diabetic retinopathy compared with the fellow non-operative eye, in which progression occurred in 7 eyes (30.43%) The severity of preoperative status affected the incidence of progression.
Conclusion: Diabetic patients undergoing cataract surgery appear to have an increase in DR progression rates 12 months after surgery.
Keywords: Cataract, Diabetes mellitus, Diabetic retinopathy, Progression, Surgery.
References
- Alpar JJ. Cataract extraction and diabetic retinopathy. J Am intraocul implant Soc 1984; 10: 433-7
- Jaffer GJ, Burton TC. Progression of nonproliferative diabetic reginopathy following cataract extraction. Archophthalmol 1988; 106:745-749
- Prasad P, Setna PH, Dunne JA. Acceleratecd ocular neovascularisation in diabetics following postsior chamber leus implantation. Br. J. ophthalmol 1990; 74:607-14.
- Pollack A, Dotan S, oliver M. The course of diabetic retinopathy following cataract surgery. Br J ophthalmol 1991; 75:2-8
- Ruiz TS, Soatci OA. Posterior chamber Infra ocular lem implantation in eyes with inactive and active proliferative diabetic retinopathy. Am J opththalmol 1991;111: 158-162.
- Pollack A, leiba H et al. The course of diabetic retinopathy folloiwn cataract surgery in eyes previously treated by laser photocoagnlation. Br. J.ophthalmol, 1992; 76:228-23,
- Marianne H, Heijil A et al. Diabetic retinopathy before and after cataract surgery Br J ophthalmol 1996; 80: 789-793
- Hong T, Mitchell P et al. Development and Progression of diabetic retinopathy 12 Months after phaecoemulsification cataract surgery. ophthalmology 2009; 116: 1510-1514.
- Krepler K, Biowsk,Biowski R et al. Cataract surgery in patients with diabetic retinopathy; visual outcome, progression of diabetic retinopathy a Visual outcome, Progression of diabetic retinopathy and incidence of diabetic macular edema. Graetes Arch Clin Exp Ophthalmol 2002; 240:735-8
Corresponding Author
Dr Ramakant Thakur
Eye Specialist, Sub-Divisional Hospital, Mahua, Vaishali, Bihar, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.169
