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Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: prospective study.
J Cataract Refract Surg 2006; 32(9):1438-44JC

Abstract

PURPOSE

To determine the incidence of diabetic retinopathy (DR) progression after phacoemulsification in patients with type II diabetes.

SETTING

Service of Ophthalmology, University of Sant Joan, Barcelona, Spain.

METHODS

This prospective study evaluated 132 patients with diabetes mellitus who had monocular phacoemulsification. A control group comprised the patients' contralateral eyes. Data analysis included preoperative retinal findings and DR status; hemoglobin A1c (HbA1c), low-density lipoprotein cholesterol, and triglycerides levels; insulin treatment; and arterial hypertension.

RESULTS

Postoperative visual acuity increased by 2 or more lines in 105 patients (79.55%); the mean postoperative acuity was 0.63 +/- 0.28 (SD). Diabetic retinopathy in the operated eye progressed in 31 patients (23.48%) and in the fellow eye in 28 patients (21.21%). The progression was associated with high levels of HbA1c and diabetes mellitus duration in both groups. Diabetic macular edema occurred in the operated eye in 8 patients (6.06%) and in the fellow eye in 6 patients (4.54%). Pseudophakic macular edema developed in 2 eyes (1.52%). The progression of diabetic macular edema was not associated with the risk factors studied.

CONCLUSION

Uneventful phacoemulsification cataract surgery may not cause DR progression.

Authors+Show Affiliations

Universidad Rovira i Virgili (Romero-Aroca, Fernández-Ballart), Catalonia, Spain. promero@grupsagessa.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16931253

Citation

Romero-Aroca, Pedro, et al. "Nonproliferative Diabetic Retinopathy and Macular Edema Progression After Phacoemulsification: Prospective Study." Journal of Cataract and Refractive Surgery, vol. 32, no. 9, 2006, pp. 1438-44.
Romero-Aroca P, Fernández-Ballart J, Almena-Garcia M, et al. Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: prospective study. J Cataract Refract Surg. 2006;32(9):1438-44.
Romero-Aroca, P., Fernández-Ballart, J., Almena-Garcia, M., Méndez-Marín, I., Salvat-Serra, M., & Buil-Calvo, J. A. (2006). Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: prospective study. Journal of Cataract and Refractive Surgery, 32(9), pp. 1438-44.
Romero-Aroca P, et al. Nonproliferative Diabetic Retinopathy and Macular Edema Progression After Phacoemulsification: Prospective Study. J Cataract Refract Surg. 2006;32(9):1438-44. PubMed PMID: 16931253.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: prospective study. AU - Romero-Aroca,Pedro, AU - Fernández-Ballart,Juan, AU - Almena-Garcia,Matias, AU - Méndez-Marín,Isabel, AU - Salvat-Serra,Merce, AU - Buil-Calvo,Jose A, PY - 2006/02/28/received PY - 2006/03/22/accepted PY - 2006/8/26/pubmed PY - 2006/10/13/medline PY - 2006/8/26/entrez SP - 1438 EP - 44 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 32 IS - 9 N2 - PURPOSE: To determine the incidence of diabetic retinopathy (DR) progression after phacoemulsification in patients with type II diabetes. SETTING: Service of Ophthalmology, University of Sant Joan, Barcelona, Spain. METHODS: This prospective study evaluated 132 patients with diabetes mellitus who had monocular phacoemulsification. A control group comprised the patients' contralateral eyes. Data analysis included preoperative retinal findings and DR status; hemoglobin A1c (HbA1c), low-density lipoprotein cholesterol, and triglycerides levels; insulin treatment; and arterial hypertension. RESULTS: Postoperative visual acuity increased by 2 or more lines in 105 patients (79.55%); the mean postoperative acuity was 0.63 +/- 0.28 (SD). Diabetic retinopathy in the operated eye progressed in 31 patients (23.48%) and in the fellow eye in 28 patients (21.21%). The progression was associated with high levels of HbA1c and diabetes mellitus duration in both groups. Diabetic macular edema occurred in the operated eye in 8 patients (6.06%) and in the fellow eye in 6 patients (4.54%). Pseudophakic macular edema developed in 2 eyes (1.52%). The progression of diabetic macular edema was not associated with the risk factors studied. CONCLUSION: Uneventful phacoemulsification cataract surgery may not cause DR progression. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/16931253/Nonproliferative_diabetic_retinopathy_and_macular_edema_progression_after_phacoemulsification:_prospective_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(06)00737-1 DB - PRIME DP - Unbound Medicine ER -