Evaluation of the progression of diabetic retinopathy after phacoemulsification

Elsobky, Hoda M Kamel; El-Sebaey, Abdel-Rahman; El-Hagaa, Ahmed A; Gaber, Noha

doi:10.4103/1110-2098.149631

Cited by 3 publications

(2 citation statements)

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“…On the other hand, El-Sobky HM et al (2014) found that uncomplicated phacoemulsification did not cause acceleration of DR postoperatively.…”

Section: Discussionmentioning

confidence: 92%

“…Prophylaxis with anti-VEGF injection has resulted in better outcomes in some studies (Takamura et al, 2009;Zhao et al, 2019). whereas other studies suggest the contrary (Mittra et al, 2000;Chung et al, 2002;El-Sobky et al, 2014). Hence, intravitreal injection of anti-VEGF during cataract surgery in eyes with DR remains a matter of confusion for ophthalmologists.…”

Section: Introductionmentioning

confidence: 99%

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Outcome of phacoemulsification without anti-vascular endothelial growth factor in patients with treatment naïve diabetic retinopathy

Rijal,

Adiga,

Pokharel

et al. 2022

Nep J Oph

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Introduction: This retrospective, non-randomized, observational study was conducted at ASG Eye Hospital, Kathmandu to evaluate the outcome of phacoemulsification without anti-Vascular Endothelial Growth Factor (VEGF) in patients with treatment naïve diabetic retinopathy. Materials and methods: Records of all patients who underwent phacoemulsification without Bevacizumab in treatment of naïve patients with any grade of non-proliferative Diabetic Retinopathy (NPDR) were seen. Pre-operative and post-operative visual acuity along with central macular thickness (CMT) was compared. Results: The study comprised 32 eyes of 20 patients with treatment naïve non-proliferative Diabetic Retinopathy who underwent phacoemulsification. Twelve were men and eight were women with an average age of 69.2 years (range 55 years to 83 years). The average preoperative central macular thickness as measured on optical coherence tomography was 254.63± 20.25 microns and 1-month postoperative central macular thickness was 254.72± 19.96 microns; the study did not find any significant difference (p-value 0.918). The average difference in the central macular thickness between the 1-month postoperative and preoperative values was 0.09 microns. Conclusion: Uneventful phacoemulsification in eyes with treatment naïve diabetic retinopathy does not cause an increase in central macular thickness after surgery and thus anti-Vascular Endothelial Growth Factor as an adjunct is not mandatory.

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“…On the other hand, El-Sobky HM et al (2014) found that uncomplicated phacoemulsification did not cause acceleration of DR postoperatively.…”

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Outcome of phacoemulsification without anti-vascular endothelial growth factor in patients with treatment naïve diabetic retinopathy

Rijal,

Adiga,

Pokharel

et al. 2022

Nep J Oph

View full text Add to dashboard Cite

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Effect of Phacoemulsification on the Progression of Diabetic Retinopathy and Diabetic Macular Edema

Usharani

Acharjee²,

Devi³

et al. 2021

ijsr

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Background: DR is the leading cause of vision loss in adults aged 22-74 years. DR ranked as the fth most common causes of preventable blindness. In cataract surgery, blood aqueous barrier is impaired leading to an increased risk of post-operative inammation and development of a sight-threatening macular edema in diabetics with or without evidence of diabetic retinopathy. The study described herein is to investigate the effect of phacoemulsication surgery on the progression of diabetic retinopathy and diabetic macular edema after phacoemulsication cataract surgery. Material And Methods: Arandomized control trial was conducted in the Department of Ophthalmology, RIMS, Imphal, Manipur for a period of 24 months with effect from September 2017 to August 2019 among 50 patients aged between 18 to 80 years with type 2 diabetes mellitus admitted for phacoemulsication surgery to determine the effect of phacoemulsication on the progression of diabetic retinopathy and diabetic macular edema. Patient's diabetic retinopathy and Diabetic macular edema were graded using Early Treatment Diabetic Retinopathy Study criteria pre and post operatively. The results were tabulated and statistically evaluated using proper methods. Results: There was signicant improvement in the visual acuity after cataract surgery for all levels of preoperative retinopathy. Progression of retinopathy was seen in 10% case eye and 8% in fellow control group which was comparable in both the groups. The nding was statistically insignicant (p>0.05). In only 2% of the patient diabetic macular edema developed at 6 month follow-up. Conclusion: Phacoemulsication cataract surgery does not cause acceleration of diabetic retinopathy and diabetic macular edema post operatively and any progression that is observed probably represents the natural course of the disease rather than being a direct effect of surgery.

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Retinal changes after uncomplicated phacoemulsification in diabetic patients

Ibrahim Rashed,

Abd Allah,

Kamel

et al. 2021

The Scientific Journal of Al-Azhar Medical Faculty, Girls

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Aim To detect the incidence and progression of diabetic retinopathy (DR) and macular edema following uncomplicated phacoemulsification in cataractous diabetic patient. Patients and methods A prospective randomized interventional study was performed at Al-Zahraa Hospital, during the period from April 2017 to December 2018. Informed written consent was taken from each participant in the study. A total of 60 eyes of 30 cataractous diabetic patients with type II diabetes were classified into two groups: group A included 30 cataractous eyes that underwent uncomplicated phacoemulsification surgeries with posterior chamber foldable intraocular lens implantation, and group B included contralateral nonoperated 30 eyes of the same patients. Results There was a statistically significant increase of mean postoperative central macular thickness (CMT) at 1, 3, and 6 months in comparison with mean preoperative CMT in group A (P<0.05). It was 223.43±15.95 preoperatively. At all duration of follow-up, the mean CMT in group A was more than that in group B, with a statistically significant difference (P>0.05). Conclusion Phacoemulsification surgery most probably does not cause acceleration of DR in patients having no DR or mild DR and no maculopathy preoperatively.

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Evaluation of the progression of diabetic retinopathy after phacoemulsification

Cited by 3 publications

References 0 publications

Outcome of phacoemulsification without anti-vascular endothelial growth factor in patients with treatment naïve diabetic retinopathy

Outcome of phacoemulsification without anti-vascular endothelial growth factor in patients with treatment naïve diabetic retinopathy

Effect of Phacoemulsification on the Progression of Diabetic Retinopathy and Diabetic Macular Edema

Retinal changes after uncomplicated phacoemulsification in diabetic patients

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