Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: Prospective study

Romero-Aroca, Pedro; Fernández-Ballart, Juan; Almena-Garcia, Matias; Méndez-Marín, Isabel; Salvat-Serra, Mercè; Buil-Calvo, José A

doi:10.1016/j.jcrs.2006.03.039

Cited by 73 publications

(71 citation statements)

References 30 publications

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“…[18][19][20][21] In these studies, the most significant predictor for progression of DR has been the status of the DR at the time of the cataract surgery. [13][14][15][16]22,23 Similarly, diabetic macular oedema has been shown to worsen after cataract surgery, [24][25][26] although controversy remains as to the incidence of this worsening.…”

Section: Introductionmentioning

confidence: 99%

Changes in diabetic macular oedema after phacoemulsification surgery

Hayashi

Igarashi

Hirata

et al. 2007

Eye

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Purpose To quantitatively examine changes in macular oedema after phacoemulsification surgery in eyes with diabetic retinopathy (DR) and in eyes without DR. Methods Thirty-four eyes with DR and 34 eyes with no DR scheduled for phacoemulsification surgery were recruited. Foveal thickness and macular volume were measured using optical coherence tomography preoperatively and at 3, 6, and 12 months postoperatively. Grade of diabetic macular oedema was also examined. Results Preoperatively, there were no significant differences between groups in foveal thickness and macular volume. The foveal thickness increased by 20.3% in the DR group and by 6.0% in the no DR group at 3 months after surgery, but thereafter decreased gradually. When comparing the groups, the foveal thickness and macular volume were significantly greater in the DR group than in the no DR group at 3 months postoperatively. The grade of macular oedema worsened in eight eyes (23.5%) in the DR group, and in one (2.9%) in the no DR group: the incidence was significantly greater in the DR group (P ¼ 0.0272). However, the oedema that occurred after surgery resolved spontaneously in three (33.3%) of the nine eyes. Conclusions The degree of diabetic macular oedema increases up to 3 months after cataract surgery, but thereafter decreases gradually. Grade of diabetic macular oedema also worsens up to 3 months, but certain percent of macular oedema that occurs after surgery resolves spontaneously. These changes are more prominent in eyes with DR than in eyes with no DR.

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Section: Introductionmentioning

confidence: 99%

Changes in diabetic macular oedema after phacoemulsification surgery

Hayashi

Igarashi

Hirata

et al. 2007

Eye

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“…[20] ve Romero-Aroca ve ark. [21] yaptıkları prospektif çalışmalarında diğer gözleriyle karşılaştırdıklarında katarakt cerrahisi sonrası diyabetik retinopatide anlamlı bir değişiklik olmadığını ifade etmişlerdir.…”

Section: Discussionunclassified

Diabetik makula ödemi olan hastalarda katarakt cerrahisinin postoperatif makula ödemine etkisi

Yumuşak¹,

Örnek²

2016

Turk J Clin Lab

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ÖZAmaç: Diyabetik makula ödemi olan hastalarda katarakt cerrahisi sonrası makula ödemindeki değişikliklerin ve hemoglobin A1C ile ilişkisinin incelenmesi. Gereç ve Yöntemler:Bu retrospektif klinik çalışma diyabetik makula ödemi olan ve komplikasyonsuz fakoemülsifikasyon ameliyatı uygulanan 30 hastanın 30 gözünü kapsamaktadır. Olgulara operasyon öncesi ve sonrası birinci hafta birinci ay ve üçüncü aylarda oftalmolojik muayene yapıldı ve optik koherens tomografi yardımıyla santral foveal kalınlık ölçümü yapıldı. Bulgular: Başlangıç değerlerine göre en iyi düzeltilmiş görme keskinliği bakımından birinci ay ve üçüncü ay değerleri artma gösterdi ve bu farklılık istatistiksel olarak anlamlıydı (P < 0,05). Foveal kalınlık bakımından da birinci ay ve üçüncü ay değerleri başlangıca göre istatistiksel olarak anlamlı derecede yüksek bulundu. Ancak bir aydan sonra artma eğilimi azaldı. Hemoglobin A1C ile ilk ay foveal kalınlık arasında anlamlı pozitif bir korelasyon bulundu (P = 0,030, r = 0,38). Sonuçlar: Diyabetik makula ödemi ve kataraktı olan hastalar fakoemülsifikasyonla katarakt cerrahisinden fayda görmektedir. Katarakt cerrahisi sonrası makula ödemi açısından özellikle ilk altı ay optik koherens tomografi ile düzenli takip yapılmalıdır.

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“…In recent years, several studies have been presented showing diverging results regarding the effect on VA and the course of DR after phacoemulsification. RomeroAroca et al reported in a study from 2006 that uneventful phacoemulsification may not cause DR progression, and Squirrell et al published data from the United Kingdom in 2002, concluding that uncomplicated phacoemulsification does not cause an acceleration of DR postoperatively and that any progression that is observed probably represents the natural history of the disease (Squirrell et al 2002;Romero-Aroca et al 2006). On the other hand, Mozaffarieh et al presented in 2005, data showing that Table 3.…”

Section: Discussionmentioning

confidence: 99%

“…After the transition to phacoemulsification techniques, several studies have reported fewer postoperative complications and generally more encouraging results (Henricsson et al 1996;Antcliff et al 1997; Longitudinal changes in subjective and objective visual function in diabetics 5 years after cataract surgery Squirrell et al 2002;Romero-Aroca et al 2006). Intraocular surgery induces blood-aqueous barrier breakdown which might cause macular oedema.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal changes in subjective and objective visual function in diabetics 5 years after cataract surgery

Lundqvist

Mönestam

2012

Acta Ophthalmologica

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ABSTRACT.Purpose: To investigate and compare the long-term subjective and objective visual functional results of phacoemulsification in diabetics and non-diabetics. Methods: A prospective, longitudinal, population-based study comprising 57 diabetics and 473 non-diabetics, who had cataract surgery during a 1-year period at Norrlands University Hospital, Umea˚, Sweden. Visual acuity data, visual function questionnaire (VF-14) responses, and level of diabetic retinopathy were recorded pre-and postoperatively as well as 5 years after surgery. Results: Four months postoperatively, the median VF-14 total score for both the diabetics and the non-diabetics was 100; at 5 years, the score decreased to 96.4 and 97.2, respectively (p = 0.81). The median best corrected visual acuity (BCVA) of the operated eye was logMAR 0.046 (Q1:Q3 = 0:0.15) for both the diabetics and the non-diabetics 4-8 weeks postoperatively. Five years later, the BCVA for the diabetics was logMAR 0.14 (Q1:Q3 = 0.02:0.34) and for the non-diabetics 0.1 (Q1:Q3 = 0.02:0.3), (p = 0.34). Five years after surgery, 26% of the diabetics and 22% of the non-diabetics had a reduction in VF14-score of 10 points or more (p = 0.64) compared with 4 months postoperatively. One-third of both the diabetics (18 ⁄ 57) and the non-diabetics (149 ⁄ 473) had lost more than 0.1 log MAR unit in BCVA of the operated eye (p = 0.86). Conclusion: Subjective and objective visual function 5 years after cataract surgery remained stable in most surviving diabetics and non-diabetics. The longitudinal visual function in diabetics was not significantly worse compared with non-diabetics.

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Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: Prospective study

Abstract: Uneventful phacoemulsification cataract surgery may not cause DR progression.

Cited by 73 publications

References 30 publications

Changes in diabetic macular oedema after phacoemulsification surgery

Changes in diabetic macular oedema after phacoemulsification surgery

Diabetik makula ödemi olan hastalarda katarakt cerrahisinin postoperatif makula ödemine etkisi

Longitudinal changes in subjective and objective visual function in diabetics 5 years after cataract surgery

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