Perioperative glycaemic control in diabetic patients undergoing cataract surgery under local anaesthesia: a survey of practices of Singapore opthalmologists and anaesthesiologists

Woo, Jyh Haur; Ng, Wei Di; Salah, Maaz Mohammad; Neelam, Kumari; Eong, Kah‐Guan Au; Kumar, Chandra M.

doi:10.11622/smedj.2016029

Cited by 14 publications

(11 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Paradoxically, Suto et al presented that patients with rapid glycaemic correction in the three months before surgery had increased risk of postoperative progression of retinopathy and maculopathy [93]. In a survey by Woo et al, 86.0–93.8% of respondents would adopt a treat and defer strategy with preoperative blood glucose level over 305 mg/dL and 86.0–96.8% would cancel surgery with a blood glucose level of 410 mg/dL [94].…”

Section: Complications Of Cataract Surgery In Diabetic Patientsmentioning

confidence: 99%

Diabetes and Phacoemulsification Cataract Surgery: Difficulties, Risks and Potential Complications

Grzybowski

Kanclerz

Huerva

et al. 2019

JCM

View full text Add to dashboard Cite

Diabetes mellitus is one of the most prevalent chronic diseases worldwide. Diabetic patients are at risk of developing cataract and present for surgery at an earlier age than non-diabetics. The aim of this study was to review the problems associated with cataract surgery in a diabetic patient. Corneal complications in diabetic patients include delayed wound healing, risk of developing epithelial defects or recurrent erosions due to the impairment of epithelial basement membranes and epithelial–stromal interactions. Diabetic patients present lower endothelial cell density and their endothelium is more susceptible to trauma associated with cataract surgery. A small pupil is common in diabetic patients making cataract surgery technically challenging. Finally diabetic patients have an increased risk for developing postoperative pseudophakic cystoid macular edema, posterior capsule opacification or endophthalmitis. In patients with pre-proliferative or proliferative diabetic retinopathy, diabetic macular edema or iris neovascularization adjunctive therapy such as an intravitreal anti-vascular endothelial growth factor injection, can inhibit exacerbation related to cataract surgery.

show abstract

Section: Complications Of Cataract Surgery In Diabetic Patientsmentioning

confidence: 99%

Diabetes and Phacoemulsification Cataract Surgery: Difficulties, Risks and Potential Complications

Grzybowski

Kanclerz

Huerva

et al. 2019

JCM

View full text Add to dashboard Cite

show abstract

“…A relação entre catarata e diabetes foi relatada por 62,7% dos pacientes e, nessa perspectiva, salienta-se que o DM2 provoca mudanças na fisiologia ocular, causando opacificação do cristalino e representando a principal causa de cegueira adquirida no Brasil. Assim, o mau controle glicêmico a longo prazo não só predispõe o indivíduo a catarata, como também aumenta os riscos da cirurgia de correção, a exemplo de infecção, inflamação pós-operatória e cicatrização tardia da ferida (WOO et al, 2016). Logo, recomenda-se que os diabéticos acima de 12 anos ou com sintomas de perda visual devem ser avaliados por um oftalmologista (ARCHER; PEREIRA; RUIZ, 2009).…”

Section: Discussionunclassified

Estilo de vida e autopercepção em saúde no controle do Diabetes Mellitus tipo 2

Moura

Catão

Lima

et al. 2019

cmbio

View full text Add to dashboard Cite

Introdução: O Diabetes Mellitus tipo 2 (DM2) representa uma doença crônica de elevada prevalência, sendo o estilo de vida responsável pela maioria dos novos casos. Além disso, a percepção que o paciente diabético possui acerca de sua doença atua como fator de proteção. Objetivo: verificar se o estilo de vida e a autopercepção em saúde interferem no controle glicêmico de pacientes com DM2. Metodologia: estudo observacional, transversal e analítico, desenvolvido com pacientes diabéticos de um Hospital Universitário. Os dados foram coletados por meio de um questionário e analisados utilizando o teste qui-quadro de Pearson ou o teste exato de Fisher, quando apropriado, para determinar associações. O nível de significância foi fixado em 5% (p<0,05). O controle glicêmico foi avaliado a partir dos valores da glicemia de jejum e hemoglobina glicada A1C (HbA1C). Resultados: A maioria dos pacientes era do gênero feminino, tinha 60 anos ou mais, possuía baixa renda e escolaridade. Além disso, eram tabagistas, etilistas e estavam com a doença descontrolada. Foram verificadas associações estatisticamente significantes entre o nível de controle glicêmico e gênero (p=0,003), tabagismo (p=0,004), sedentarismo (p<0,001), escovação dentária (p<0,001) e uso de fio dental (p<0,001). Por fim, a maior parte acreditava haver relação entre DM2 e amputação de membros (90,2%), hipertensão arterial sistêmica (72,5%) e catarata (62,7%). Conclusão: Destaca-se a importância do acompanhamento dos pacientes diabéticos e ressalta-se que a autopercepção amplia as possibilidades de acesso aos serviços de saúde. Ademais, os dados obtidos fornecem informações a serem utilizadas para a prevenção das complicações do DM2.

show abstract

“…Currently, there is no internationally accepted guidelines specifically for the perioperative management of diabetic patients undergoing cataract surgery. [9]…”

Section: Discussionmentioning

confidence: 99%

Effect of local anesthesia and general anesthesia using I-gel laryngeal mask airway in diabetic patients undergoing cataract surgery: comparative study

2019

View full text Add to dashboard Cite

Background: Cataract surgery is one of the most commonly performed ophthalmic procedures. On choosing the appropriate method of anesthesia for diabetic patients with cataract whether regional or general, one should consider a technique that is associated with less stress response, minimal effect on hemodynamic and essentially associated with a good intraoperative glycemic control. This is yet to be determined. Aims: The aim of this study is to evaluate the use of I-gel as an alternative to local anesthesia (LA) in diabetic patients undergoing cataract surgery. Patients and Methods: This study was conducted on 60 controlled insulin-dependent diabetic patients undergoing cataract surgery. They were randomized to receive either LA by sub-Tenon's block (LA group n = 30) or general anesthesia (GA) using I-gel (GA group n = 30). Mean arterial blood pressure (MBP) and heart rate were monitored. Furthermore, blood glucose level and plasma cortisol level were measured at basal level, after induction of anesthesia or local block, after nuclear extraction, at the end of surgery, and 30, 60, 120, and 240 min postoperative. Results: There was no significant difference in either blood glucose or cortisol levels in both groups. Blood glucose level increased with induction of anesthesia in both groups. The use of I-gel was not associated with increase heart rate or MBP compared to the LA group. Conclusion: Both local and GA using I-gel are relatively safe without marked changes in hemodynamics, blood glucose, or cortisol level in insulin-dependent diabetic patients.

show abstract

Perioperative glycaemic control in diabetic patients undergoing cataract surgery under local anaesthesia: a survey of practices of Singapore opthalmologists and anaesthesiologists

Cited by 14 publications

References 14 publications

Diabetes and Phacoemulsification Cataract Surgery: Difficulties, Risks and Potential Complications

Diabetes and Phacoemulsification Cataract Surgery: Difficulties, Risks and Potential Complications

Estilo de vida e autopercepção em saúde no controle do Diabetes Mellitus tipo 2

Effect of local anesthesia and general anesthesia using I-gel laryngeal mask airway in diabetic patients undergoing cataract surgery: comparative study

Contact Info

Product

Resources

About