Cataract extraction and diabetic retinopathy

Alpar, John J.

doi:10.1016/s0146-2776(84)80042-7

Cited by 28 publications

(6 citation statements)

References 13 publications

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“…Cataract extraction has been identified as a risk factor for DR progression [ 21 , 22 ]. However, less DR progression was reported in patients undergoing phacoemulsification as compared with intracapsular cataract extraction and extracapsular cataract extraction [ 23 ], and Squirrell et al even concluded that uncomplicated phacoemulsification cataract surgery does not cause acceleration of diabetic retinopathy postoperatively [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Choroidal Structural Changes Assessed with Swept-Source Optical Coherence Tomography after Cataract Surgery in Eyes with Diabetic Retinopathy

Yao

Gao

Liu

et al. 2020

Journal of Ophthalmology

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Objective. To determine the influence of phacoemulsification on choroidal vasculature in patients with diabetic retinopathy (DR) undergoing cataract surgery using swept-source optical coherence tomography (SS-OCT). Methods. The study was conducted in 23 eyes of 23 cataract patients with mild/moderate nonproliferative diabetic retinopathy (NPDR) without diabetic macular edema (DME) and 23 age-matched controls. Choroidal thickness (CT) and choroidal vascularity index (CVI) were measured at baseline and 1 week, 1 month, and 3 months after surgery. Results. The baseline CVI in the DR group was significantly lower than that in the control group ( P = 0.001 ). CVI in DR patients after surgery significantly increased compared with preoperative values (all P < 0.001 for 1 week, 1 month, and 3 months after surgery). Postoperative increase of CVI and CT in the DR group was more than in the control group, and the difference was significant 1 month and 3 months after surgery (all P < 0.05 ). Conclusion. Patients with mild/moderate NPDR have reduced CVI compared with nondiabetic patients at baseline; diabetic cataract surgery tended to induce more increase in CVI and CT as compared with nondiabetic patients. This trial is registered with NCT04499768.

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Section: Discussionmentioning

confidence: 99%

Choroidal Structural Changes Assessed with Swept-Source Optical Coherence Tomography after Cataract Surgery in Eyes with Diabetic Retinopathy

Yao

Gao

Liu

et al. 2020

Journal of Ophthalmology

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“…(1) diabetes mellitus diagnosed at least 6 months prior to cataract surgery; (2) uneventful surgical procedure on one eye only; (3) no other ocular disorders; (4) laser treatment for established diabetic retinopathy applied at least 3 months before surgery. The laser treatment had consisted of panretinal photocoagulation for proliferative or very severe non-proliferative diabetic retinopathy and/or focal or grid argon green laser photocoagulation for macular oedema.…”

Section: Methodsmentioning

confidence: 99%

The course of diabetic retinopathy following cataract surgery in eyes previously treated by laser photocoagulation.

Pollack

Leiba

Bukelman

et al. 1992

British Journal of Ophthalmology

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The course of diabetic retinopathy following extracapsular cataract extraction with posterior chamber lens implantation in eyes previously treated by laser photocoagulation for diabetic retinopathy was retrospectively studied in 33 eyes (33 patients). In 20 eyes (61%) there was no change in the retinal status postoperatively. In 13 (39%) there was postoperative progression of diabetic retinopathy compared with the fellow non-operated eye, in which progression occurred in nine eyes (27%). The severity of the preoperative status affected the incidence of progression. Four eyes (12%) developed complications ofdiabetic retinopathy -that is, rubeosis iridis and vitreous haemorrhage -which regressed after lasering. Cystoid macular oedema developed in 13 eyes (39%) and its incidence varied according to the postoperative course of diabetic retinopathy. The majority of the eyes showed a postoperative improvement in vision.

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“…Numerous studies have evaluated the effect of cataract surgery on the progression of DR. The progression of DR after intracapsular (ICCE) and extracapsular (ECCE) cataract extraction has been extensively studied[80,112,113]. Sebestyen et al[112] and Alpar et al[113] demonstrated the progression of retinopathy after ICCE and ECCE, with ICCE showing worse results than ECCE.…”

Section: Complicationsmentioning

confidence: 99%

Cataract in diabetes mellitus

Kızıltoprak¹,

Tekin²,

İnanç³

et al. 2019

WJD

202

132

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Diabetes mellitus (DM) is a chronic systemic disease that has increases in prevalence over time. DM can affect all ocular structures, with cataract being the most common ocular complication. Cataract is the leading cause of blindness worldwide. Due to several mechanisms, there is an increased incidence of cataract formation in the diabetic population. Advancements in technology have now made cataract surgery a common and safe procedure. However, the diabetic population is still at risk of vision-threatening complications, such as diabetic macular edema (ME), postoperative ME, diabetic retinopathy progression, and posterior capsular opacification.

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Cataract extraction and diabetic retinopathy

Cited by 28 publications

References 13 publications

Choroidal Structural Changes Assessed with Swept-Source Optical Coherence Tomography after Cataract Surgery in Eyes with Diabetic Retinopathy

Choroidal Structural Changes Assessed with Swept-Source Optical Coherence Tomography after Cataract Surgery in Eyes with Diabetic Retinopathy

The course of diabetic retinopathy following cataract surgery in eyes previously treated by laser photocoagulation.

Cataract in diabetes mellitus

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