Effect of Perioperative Glycemic Control in Progression of Diabetic Retinopathy and Maculopathy

Abstract

To evaluate the contribution of perioperative glycemic control to progression of diabetic retinopathy and maculopathy.

The risk for developing vision‐threatening retinopathy after cataract surgery in diabetic patients depends on the postoperative follow‐up time

“…The finding that increased preoperative variability of HbA1c increased the risk for developing DME within the first five postoperative years is in accordance with observations that the risk for developing postoperative macular oedema is increased in patients with poor metabolic control (Yang et al 2017;Ylinen et al 2017). This risk can be reduced by a tight metabolic control (Suto et al 2006;Aiello et al 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al 2006). The long-term risk for developing diabetic macular oedema The values Age.0 -Age.3 refer to the splines used in the multiple regression where the numbers represent the reference (0), and the linear (1), the quadratic (2) and the cubic (3) components.…”

“…This risk can be reduced by a tight metabolic control (Suto et al. 2006; Aiello et al. 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al.…”

“…2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al. 2006). The long‐term risk for developing diabetic macular oedema increased by a higher weighted HbA1c and diastolic blood pressure which confirms previous findings (Yang et al.…”

The risk for developing vision‐threatening retinopathy after cataract surgery in diabetic patients depends on the postoperative follow‐up time

“…The finding that increased preoperative variability of HbA1c increased the risk for developing DME within the first five postoperative years is in accordance with observations that the risk for developing postoperative macular oedema is increased in patients with poor metabolic control (Yang et al 2017;Ylinen et al 2017). This risk can be reduced by a tight metabolic control (Suto et al 2006;Aiello et al 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al 2006). The long-term risk for developing diabetic macular oedema The values Age.0 -Age.3 refer to the splines used in the multiple regression where the numbers represent the reference (0), and the linear (1), the quadratic (2) and the cubic (3) components.…”

“…This risk can be reduced by a tight metabolic control (Suto et al. 2006; Aiello et al. 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al.…”

“…2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al. 2006). The long‐term risk for developing diabetic macular oedema increased by a higher weighted HbA1c and diastolic blood pressure which confirms previous findings (Yang et al.…”

An Overview of Preoperative Glucose Evaluation, Management, and Perioperative Impact

“…Suto and colleagues studied 87 patients with diabetes undergoing monocular phacoemulsification cataract surgery, 27 of which were willing to undergo rapid correction of HbA1c (10.3 to 7.4%) in the 3 months immediately prior to their surgery. 51 Unfortunately, patients in this group demonstrated increased progression of retinopathy compared to both patients with poor control (HbA1c 9.5%) and those with similar, but stable control (HbA1c 7.5%) at time of surgery.…”

Endophthalmitis following cataract surgery in diabetic patients

“…Education on the importance of perioperative blood sugar optimization is crucial. rapid correction of blood glucose should be avoided in patients with moderate to severe non-proliferative diabetic retinopathy, as it may increase the risk of postoperative progression of retinopathy and maculopathy, thus influence the postoperative visual prognosis [18]. Hence, better education and co-management with physicians and family doctors is necessary.…”

The risk for developing vision‐threatening retinopathy after cataract surgery in diabetic patients depends on the postoperative follow‐up time

“…The finding that increased preoperative variability of HbA1c increased the risk for developing DME within the first five postoperative years is in accordance with observations that the risk for developing postoperative macular oedema is increased in patients with poor metabolic control (Yang et al 2017;Ylinen et al 2017). This risk can be reduced by a tight metabolic control (Suto et al 2006;Aiello et al 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al 2006). The long-term risk for developing diabetic macular oedema The values Age.0 -Age.3 refer to the splines used in the multiple regression where the numbers represent the reference (0), and the linear (1), the quadratic (2) and the cubic (3) components.…”

“…This risk can be reduced by a tight metabolic control (Suto et al. 2006; Aiello et al. 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al.…”

“…2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al. 2006). The long‐term risk for developing diabetic macular oedema increased by a higher weighted HbA1c and diastolic blood pressure which confirms previous findings (Yang et al.…”

An Overview of Preoperative Glucose Evaluation, Management, and Perioperative Impact

“…Suto and colleagues studied 87 patients with diabetes undergoing monocular phacoemulsification cataract surgery, 27 of which were willing to undergo rapid correction of HbA1c (10.3 to 7.4%) in the 3 months immediately prior to their surgery. 51 Unfortunately, patients in this group demonstrated increased progression of retinopathy compared to both patients with poor control (HbA1c 9.5%) and those with similar, but stable control (HbA1c 7.5%) at time of surgery.…”

Endophthalmitis following cataract surgery in diabetic patients

“…Education on the importance of perioperative blood sugar optimization is crucial. rapid correction of blood glucose should be avoided in patients with moderate to severe non-proliferative diabetic retinopathy, as it may increase the risk of postoperative progression of retinopathy and maculopathy, thus influence the postoperative visual prognosis [18]. Hence, better education and co-management with physicians and family doctors is necessary.…”

The risk for developing vision‐threatening retinopathy after cataract surgery in diabetic patients depends on the postoperative follow‐up time

“…The finding that increased preoperative variability of HbA1c increased the risk for developing DME within the first five postoperative years is in accordance with observations that the risk for developing postoperative macular oedema is increased in patients with poor metabolic control (Yang et al 2017;Ylinen et al 2017). This risk can be reduced by a tight metabolic control (Suto et al 2006;Aiello et al 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al 2006). The long-term risk for developing diabetic macular oedema The values Age.0 -Age.3 refer to the splines used in the multiple regression where the numbers represent the reference (0), and the linear (1), the quadratic (2) and the cubic (3) components.…”

“…This risk can be reduced by a tight metabolic control (Suto et al. 2006; Aiello et al. 2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al.…”

“…2015), although the hyperglycaemia should be regulated in a manner to avoid a too high variability in blood glucose (Suto et al. 2006). The long‐term risk for developing diabetic macular oedema increased by a higher weighted HbA1c and diastolic blood pressure which confirms previous findings (Yang et al.…”

An Overview of Preoperative Glucose Evaluation, Management, and Perioperative Impact

“…Suto and colleagues studied 87 patients with diabetes undergoing monocular phacoemulsification cataract surgery, 27 of which were willing to undergo rapid correction of HbA1c (10.3 to 7.4%) in the 3 months immediately prior to their surgery. 51 Unfortunately, patients in this group demonstrated increased progression of retinopathy compared to both patients with poor control (HbA1c 9.5%) and those with similar, but stable control (HbA1c 7.5%) at time of surgery.…”

Endophthalmitis following cataract surgery in diabetic patients

“…Education on the importance of perioperative blood sugar optimization is crucial. rapid correction of blood glucose should be avoided in patients with moderate to severe non-proliferative diabetic retinopathy, as it may increase the risk of postoperative progression of retinopathy and maculopathy, thus influence the postoperative visual prognosis [18]. Hence, better education and co-management with physicians and family doctors is necessary.…”