Cataract surgery in patients with diabetic retinopathy: Visual outcome, progression of diabetic retinopathy, and incidence of diabetic macular oedema

Krepler, Katharina; Biowski, Robert; Schrey, S; Jandrasits, Kerstin; Wedrich, Andreas

doi:10.1007/s00417-002-0530-7

Cited by 124 publications

(107 citation statements)

References 19 publications

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“…[18][19][20][21] In these studies, the most significant predictor for progression of DR has been the status of the DR at the time of the cataract surgery. [13][14][15][16]22,23 Similarly, diabetic macular oedema has been shown to worsen after cataract surgery, [24][25][26] although controversy remains as to the incidence of this worsening.…”

Section: Introductionmentioning

confidence: 99%

Changes in diabetic macular oedema after phacoemulsification surgery

Hayashi

Igarashi

Hirata

et al. 2007

Eye

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Purpose To quantitatively examine changes in macular oedema after phacoemulsification surgery in eyes with diabetic retinopathy (DR) and in eyes without DR. Methods Thirty-four eyes with DR and 34 eyes with no DR scheduled for phacoemulsification surgery were recruited. Foveal thickness and macular volume were measured using optical coherence tomography preoperatively and at 3, 6, and 12 months postoperatively. Grade of diabetic macular oedema was also examined. Results Preoperatively, there were no significant differences between groups in foveal thickness and macular volume. The foveal thickness increased by 20.3% in the DR group and by 6.0% in the no DR group at 3 months after surgery, but thereafter decreased gradually. When comparing the groups, the foveal thickness and macular volume were significantly greater in the DR group than in the no DR group at 3 months postoperatively. The grade of macular oedema worsened in eight eyes (23.5%) in the DR group, and in one (2.9%) in the no DR group: the incidence was significantly greater in the DR group (P ¼ 0.0272). However, the oedema that occurred after surgery resolved spontaneously in three (33.3%) of the nine eyes. Conclusions The degree of diabetic macular oedema increases up to 3 months after cataract surgery, but thereafter decreases gradually. Grade of diabetic macular oedema also worsens up to 3 months, but certain percent of macular oedema that occurs after surgery resolves spontaneously. These changes are more prominent in eyes with DR than in eyes with no DR.

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Section: Introductionmentioning

confidence: 99%

Changes in diabetic macular oedema after phacoemulsification surgery

Hayashi

Igarashi

Hirata

et al. 2007

Eye

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“…Aynı çalışmada makula ödeminin pik yapma insidansı 1. ay olarak belirlenmiş ancak MÖ oranı bir önceki çalışmaya göre daha düşük belirtilmiştir. MÖ insidansı farklı çalışmalarda %29 ile %56 arasında değişmektedir [15,17,18]. Kwon ve ark.…”

Section: Discussionunclassified

Diabetik makula ödemi olan hastalarda katarakt cerrahisinin postoperatif makula ödemine etkisi

Yumuşak¹,

Örnek²

2016

Turk J Clin Lab

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ÖZAmaç: Diyabetik makula ödemi olan hastalarda katarakt cerrahisi sonrası makula ödemindeki değişikliklerin ve hemoglobin A1C ile ilişkisinin incelenmesi. Gereç ve Yöntemler:Bu retrospektif klinik çalışma diyabetik makula ödemi olan ve komplikasyonsuz fakoemülsifikasyon ameliyatı uygulanan 30 hastanın 30 gözünü kapsamaktadır. Olgulara operasyon öncesi ve sonrası birinci hafta birinci ay ve üçüncü aylarda oftalmolojik muayene yapıldı ve optik koherens tomografi yardımıyla santral foveal kalınlık ölçümü yapıldı. Bulgular: Başlangıç değerlerine göre en iyi düzeltilmiş görme keskinliği bakımından birinci ay ve üçüncü ay değerleri artma gösterdi ve bu farklılık istatistiksel olarak anlamlıydı (P < 0,05). Foveal kalınlık bakımından da birinci ay ve üçüncü ay değerleri başlangıca göre istatistiksel olarak anlamlı derecede yüksek bulundu. Ancak bir aydan sonra artma eğilimi azaldı. Hemoglobin A1C ile ilk ay foveal kalınlık arasında anlamlı pozitif bir korelasyon bulundu (P = 0,030, r = 0,38). Sonuçlar: Diyabetik makula ödemi ve kataraktı olan hastalar fakoemülsifikasyonla katarakt cerrahisinden fayda görmektedir. Katarakt cerrahisi sonrası makula ödemi açısından özellikle ilk altı ay optik koherens tomografi ile düzenli takip yapılmalıdır.

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“…In diabetic patients however there seems to be a greater predisposition to developing CME or to a worsening of existing ones, although not all studies have confirmed this tendency (14)(15)(16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

“…It is also very useful in the differential diagnosis between diabetic CME, if it appears early in postop, and pseudo-phakic CM with a lower prognosis (15) and which appears typically one month after surgery. Obviously, this also has therapeutic implications (16,18).…”

Section: Discussionmentioning

confidence: 99%

Edema macular quístico pseudofáquico: Detección mediante «optical coherence tomography»

Torrón-Fernández-Blanco

Ruiz-Moreno

Ferrer-Novella

et al. 2006

Arch Soc Esp Oftalmol

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Cataract surgery in patients with diabetic retinopathy: Visual outcome, progression of diabetic retinopathy, and incidence of diabetic macular oedema

Abstract: Modern cataract surgery seems to have no influence on the progression of diabetic retinopathy. A visual improvement is achieved in the majority of patients with NPDR, but poorer visual outcome is observed in patients developing macular oedema.

Cited by 124 publications

References 19 publications

Changes in diabetic macular oedema after phacoemulsification surgery

Changes in diabetic macular oedema after phacoemulsification surgery

Diabetik makula ödemi olan hastalarda katarakt cerrahisinin postoperatif makula ödemine etkisi

Edema macular quístico pseudofáquico: Detección mediante «optical coherence tomography»

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