Background and Objectives: The two most common complications of diabetes mellitus are retinopathy and neuropathy which are dealt by two different medical departments. Early detection and management are therefore necessary to prevent progression of these two diseases and will give a knowledgeable idea regarding the both. Thus, this study was done to know the association of diabetic peripheral neuropathy and diabetic retinopathy. Methods: This was a cross sectional study comprised of 200 cases of type 2 diabetes mellitus selected from the ophthalmology department and referred cases from other departments. A thorough history and examination was done in both departments, that is, complete ophthalmic and neurological examination respectively. Relevant investigations, if needed, were done and diabetic retinopathy was classified according to ETDRS classification. Results: Of the 200 patients having type 2 diabetes for more than 5 years, 28% of cases had diabetic retinopathy and 59% of cases had peripheral neuropathy. Peripheral neuropathy was twice more common than retinopathy. 33.1% had retinopathy and 65.46% had peripheral neuropathy among the uncontrolled diabetics. The prevalence of retinopathy increased 1.3 times in patients with neuropathy (16%) than in patients without peripheral neuropathy (12%). Conclusion: As there was higher incidence of peripheral neuropathy, it is important as ophthalmologists to look for peripheral neuropathy in diabetics which will help in reducing diabetes-related morbidities.
Context: Glaucoma is a optic neuropathy having multifactorial causes. Both cataract and glaucoma condition can influence management of the one another. Aims: To know the visual outcome and intraocular pressure control after combined trabeculectomy in patients with glaucoma and cataract. Settings and Design: It was a descriptive interventional study done for two years. All patients diagnosed to have significant cataract and diagnosed glaucoma were included in study. Methods and Material: After taking consent, combined surgery was performed and post-op follow up was done on 1st postoperative day and then on 1st week, 2weeks, 4weeks, 6weeks, 8weeks and 6 months. All parameters assessed and tabulated for statistical analysis. Results: Mean age of subjects was 59 years. 46.7% were males. Most of the patients (73.4%) were diagnosed as POAG. 26.7% were having PACG. Pre-operatively, 7 patients had vision better than 6/36. 13 patients had 6/36 and 10 patients had less than 6/36. At 6 weeks postoperatively, 76.7% had vision 6/9 or better, 16.7% had between 6/12 to 6/18, 6.7% less than 6/18. Mean IOP, Preoperatively among POAG and PACG was 19.90 and 33.25mmHg. Among POAG, Postoperatively at 6weeks, 8week, and 6months, IOP was 13.81, 13.91 and 12.72mmHg respectively. Postoperatively at 6weeks, 8week, and 6months, IOP was 19.75, 18.00 and 17.25mmHg in case of PACG. Conclusions: The study has showed the postoperative visual outcome and control of intraocular pressure is better with combined trabeculectomy with cataract surgery but still patients should be individualised according to their presentation.
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