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Management of type 2 diabetics requiring panretinal photocoagulation and cataract surgery.
J Cataract Refract Surg 2008; 34(6):1001-6JC

Abstract

PURPOSE

To evaluate the outcomes in patients with diabetic retinopathy and cataract who had panretinal photocoagulation (PRP) first and cataract surgery second in 1 eye and cataract surgery followed by PRP in the fellow eye.

SETTING

Department of Ophthalmology, Saiseikai Kurihashi Hospital, Saitama, Japan.

METHODS

Fifty-eight eyes of 29 patients with similar bilateral cataracts and severe nonproliferative or early proliferative diabetic retinopathy were randomly assigned for treatment with cataract surgery performed after PRP (PRP-first group) or before PRP (surgery-first group). Treatment was performed in the opposite order in the contralateral eye. The main outcome measure was best corrected visual acuity (BCVA) 12 months after surgery. The secondary outcome measures were the laser parameters, progression of retinopathy and macular edema, and aqueous flare intensity.

RESULTS

The percentage of eyes with a BCVA of 20/40 or better was statistically significantly higher in the surgery-first group (96.6%) than in the PRP-first group (69.0%) (P = .012). The rate of the progression of macular edema was significantly decreased in the surgery-first group (P = .033). There was no significant difference between the 2 groups in the other outcome measures.

CONCLUSION

Although the order in which PRP and cataract surgery were performed had no effect on postoperative retinopathy, the BCVA was better and the rate of the progression of macular edema was decreased in the surgery-first group.

Authors+Show Affiliations

Department of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan. chikakos@pastel.ocn.ne.jpNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18499009

Citation

Suto, Chikako, et al. "Management of Type 2 Diabetics Requiring Panretinal Photocoagulation and Cataract Surgery." Journal of Cataract and Refractive Surgery, vol. 34, no. 6, 2008, pp. 1001-6.
Suto C, Hori S, Kato S. Management of type 2 diabetics requiring panretinal photocoagulation and cataract surgery. J Cataract Refract Surg. 2008;34(6):1001-6.
Suto, C., Hori, S., & Kato, S. (2008). Management of type 2 diabetics requiring panretinal photocoagulation and cataract surgery. Journal of Cataract and Refractive Surgery, 34(6), pp. 1001-6. doi:10.1016/j.jcrs.2008.02.019.
Suto C, Hori S, Kato S. Management of Type 2 Diabetics Requiring Panretinal Photocoagulation and Cataract Surgery. J Cataract Refract Surg. 2008;34(6):1001-6. PubMed PMID: 18499009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of type 2 diabetics requiring panretinal photocoagulation and cataract surgery. AU - Suto,Chikako, AU - Hori,Sadao, AU - Kato,Satoshi, PY - 2007/12/03/received PY - 2008/02/20/accepted PY - 2008/5/24/pubmed PY - 2008/7/18/medline PY - 2008/5/24/entrez SP - 1001 EP - 6 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 34 IS - 6 N2 - PURPOSE: To evaluate the outcomes in patients with diabetic retinopathy and cataract who had panretinal photocoagulation (PRP) first and cataract surgery second in 1 eye and cataract surgery followed by PRP in the fellow eye. SETTING: Department of Ophthalmology, Saiseikai Kurihashi Hospital, Saitama, Japan. METHODS: Fifty-eight eyes of 29 patients with similar bilateral cataracts and severe nonproliferative or early proliferative diabetic retinopathy were randomly assigned for treatment with cataract surgery performed after PRP (PRP-first group) or before PRP (surgery-first group). Treatment was performed in the opposite order in the contralateral eye. The main outcome measure was best corrected visual acuity (BCVA) 12 months after surgery. The secondary outcome measures were the laser parameters, progression of retinopathy and macular edema, and aqueous flare intensity. RESULTS: The percentage of eyes with a BCVA of 20/40 or better was statistically significantly higher in the surgery-first group (96.6%) than in the PRP-first group (69.0%) (P = .012). The rate of the progression of macular edema was significantly decreased in the surgery-first group (P = .033). There was no significant difference between the 2 groups in the other outcome measures. CONCLUSION: Although the order in which PRP and cataract surgery were performed had no effect on postoperative retinopathy, the BCVA was better and the rate of the progression of macular edema was decreased in the surgery-first group. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/18499009/Management_of_type_2_diabetics_requiring_panretinal_photocoagulation_and_cataract_surgery_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(08)00287-3 DB - PRIME DP - Unbound Medicine ER -