Diabetic retinopathy progression and visual outcome after phacoemulsification in South-Asian and Afro-Caribbean patients with diabetes

Chatterjee, Shankar; Savant, Vijay; Stavrou, P

doi:10.1038/sj.eye.6700747

Cited by 7 publications

(4 citation statements)

References 14 publications

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“…Because most patients were referred from other hospitals, accurate data on previous laser treatments, the duration of CSME, and systemic control of diabetes were not available and thus could not be included in the statistical analysis. In our study, the rate of progression of DR in the control group was 45.45%, which is similar to that reported by Chatterjee et al 27 in British Afro-Caribbean diabetic patients having phacoemulsification. Although direct comparison between studies is difficult, our study found a significant reduction in the rate of progression of DR in eyes that received an intravitreal injection of bevacizumab.…”

Section: Discussionsupporting

confidence: 92%

Role of combined cataract surgery and intravitreal bevacizumab injection in preventing progression of diabetic retinopathy

Cheema¹,

Al-Mubarak²,

Amin³

et al. 2009

Journal of Cataract and Refractive Surgery

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Section: Discussionsupporting

confidence: 92%

Role of combined cataract surgery and intravitreal bevacizumab injection in preventing progression of diabetic retinopathy

Cheema¹,

Al-Mubarak²,

Amin³

et al. 2009

Journal of Cataract and Refractive Surgery

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“…Ultimately, 8 studies were included in the meta-analysis. 1,2,4,[9][10][11][12][13] The number of patients in the 8 studies ranged from 30 to 119, and number of eyes ranged from 30 to 180. The mean or median age ranged from 66.4 to 76 years, and the proportion of males ranged from 32% to 79% (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Visual Outcomes after Cataract Surgery in Diabetic Patients: A Meta-Analysis

Guo

Yang²,

Xie³

2017

Ann Acad Med Singap

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Dear Editor,Diabetic retinopathy is a common complication of diabetes which can result in blindness. Studies have generally shown that visual outcomes after cataract surgery in patients with diabetes are worse than in non-diabetics, especially those with diabetic retinopathy. [1][2][3] In patients with diabetic retinopathy, a major cause of unfavourable outcomes after cataract surgery is macular oedema. 4 Factors associated with significant macular oedema include the duration of diabetes, glycaemic control, degree of retinopathy, and macular oedema at the time of surgery. 4,5 Increased retinopathy progression and increased incidence of macular oedema after cataract surgery have been reported in patients with diabetes, 1 while other studies have not reported these findings. 6 Some authors suggested that the findings are due to the natural course of diabetes. 5,7 To this end, we performed a meta-analysis to determine outcomes of cataract surgery in diabetic patients with diabetic retinopathy as compared to those without retinopathy. Materials and MethodsMedline, Cochrane, and Google Scholar databases were searched from inception until January 30, 2015 using combinations of the following keywords: visual outcome, cataract surgery, diabetes, diabetic retinopathy. Inclusion criteria for the meta-analysis were: 1) two-arm studies; 2) one group of eyes that had diabetic retinopathy and another that did not; 3) that both groups of eyes had undergone cataract surgery; 4) quantitative outcomes that had been reported. Single-arm studies and those with patients receiving medical treatment (enoxaparin, ranibizumab, or triamcinolone, etc.) in addition to cataract surgery to prevent macular oedema were excluded. Letters, comments, editorials, case reports, proceedings, and personal communications were also excluded. Studies were identified by the search strategy via two independent reviewers. Information/data extracted from studies that met the inclusion criteria were: the name of the first author, year of publication, study design, number of participants in each group, participants' age and gender, presence of retinopathy and the major outcomes. The method described by Hayden et al 8 was used to assess the quality of the included studies.Outcome measures were: 1) percentage of eyes with

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“…Chatterjee et al 8 present an original piece of work assessing diabetic retinopathy and maculopathy progression along with visual outcome following phacoemulsification cataract extraction in South-Asian and Afro-Caribbean patients who are type II diabetics. 8 There results show that 86.7% achieved a final postoperative visual acuity of 6/12 or better. More importantly, there was no statistical difference in the number of operated and fellow eyes that developed progression of retinopathy or maculopathy.…”

mentioning

confidence: 84%

“…The reported rate of progression of diabetic retinopathy following phacoemulsification in the general diabetic population ranges between 20 and 34%. 4,[9][10][11] In Chaterjee's study, 8 23.4% of patients showed either symmetric or asymmetric progression at a mean follow-up of 12.4 months. The results of this study suggest that uncomplicated phacoemulsification in South-Asian and Afro-Carribean patients with diabetes is associated with a favourable postoperative visual outcome that is comparable with the results of phacoemulsification in the general diabetic population.…”

mentioning

confidence: 99%

Phacoemulsification cataract extraction in diabetics from ethnic minorities

Brand

2004

Eye

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Diabetic retinopathy progression and visual outcome after phacoemulsification in South-Asian and Afro-Caribbean patients with diabetes

Abstract: Purpose To determine diabetic retinopathy or maculopathy progression and visual outcome following phacoemulsification in South-Asian and Afro-Caribbean patients with diabetes.

Cited by 7 publications

References 14 publications

Role of combined cataract surgery and intravitreal bevacizumab injection in preventing progression of diabetic retinopathy

Role of combined cataract surgery and intravitreal bevacizumab injection in preventing progression of diabetic retinopathy

Visual Outcomes after Cataract Surgery in Diabetic Patients: A Meta-Analysis

Phacoemulsification cataract extraction in diabetics from ethnic minorities

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