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The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery

Received: 16 July 2019     Accepted: 21 August 2019     Published: 5 September 2019
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Abstract

Background: Cataract in diabetic patients is a major cause of visual impairment in the world. The aim of cataract surgery in diabetics with raised serum glucose levels is to achieve good postoperative vision and reduced complications. Purpose: The purpose of this study is to observe the intraoperative and postoperative complications and postoperative visual acuity after cataract surgery with intraocular lens implantation in diabetic patients with raised preoperative random blood sugar levels. Materials and method: A single surgeon carried out manual small incision cataract surgery followed by implantation of a posterior chamber intraocular lens. Patients were followed up at day 1, 6 weeks, 6 months and 1 year after surgery. At every visit Best Corrected Visual Acuity, measurement of intraocular pressure, anterior segment examination by slit lamp and dilated fundus examination was done. Result: Maximum number of patients was having excellent visual acuity (85.3%) at 6 weeks follow up and in accordance to WHO recommendations. The most common postoperative complications were early postoperative fibrinous exudates (28.2%), cystoid macular edema (23%), posterior capsular opacification (20.5%). Conclusion: In this study, we observed that over one year period, diabetic patients with raised serum glucose levels who underwent cataract surgery did not show any vision threatening complications. There was no influence of preoperative serum glucose levels on final visual outcome.

Published in International Journal of Ophthalmology & Visual Science (Volume 4, Issue 3)
DOI 10.11648/j.ijovs.20190403.14
Page(s) 58-62
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cataract, Diabetes Mellitus, Complications, Visual Outcome

References
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Cite This Article
  • APA Style

    Sudhir Pendke, Iqbal Bombaywala, Saloni Singh. (2019). The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery. International Journal of Ophthalmology & Visual Science, 4(3), 58-62. https://doi.org/10.11648/j.ijovs.20190403.14

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    ACS Style

    Sudhir Pendke; Iqbal Bombaywala; Saloni Singh. The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery. Int. J. Ophthalmol. Vis. Sci. 2019, 4(3), 58-62. doi: 10.11648/j.ijovs.20190403.14

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    AMA Style

    Sudhir Pendke, Iqbal Bombaywala, Saloni Singh. The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery. Int J Ophthalmol Vis Sci. 2019;4(3):58-62. doi: 10.11648/j.ijovs.20190403.14

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  • @article{10.11648/j.ijovs.20190403.14,
      author = {Sudhir Pendke and Iqbal Bombaywala and Saloni Singh},
      title = {The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {4},
      number = {3},
      pages = {58-62},
      doi = {10.11648/j.ijovs.20190403.14},
      url = {https://doi.org/10.11648/j.ijovs.20190403.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20190403.14},
      abstract = {Background: Cataract in diabetic patients is a major cause of visual impairment in the world. The aim of cataract surgery in diabetics with raised serum glucose levels is to achieve good postoperative vision and reduced complications. Purpose: The purpose of this study is to observe the intraoperative and postoperative complications and postoperative visual acuity after cataract surgery with intraocular lens implantation in diabetic patients with raised preoperative random blood sugar levels. Materials and method: A single surgeon carried out manual small incision cataract surgery followed by implantation of a posterior chamber intraocular lens. Patients were followed up at day 1, 6 weeks, 6 months and 1 year after surgery. At every visit Best Corrected Visual Acuity, measurement of intraocular pressure, anterior segment examination by slit lamp and dilated fundus examination was done. Result: Maximum number of patients was having excellent visual acuity (85.3%) at 6 weeks follow up and in accordance to WHO recommendations. The most common postoperative complications were early postoperative fibrinous exudates (28.2%), cystoid macular edema (23%), posterior capsular opacification (20.5%). Conclusion: In this study, we observed that over one year period, diabetic patients with raised serum glucose levels who underwent cataract surgery did not show any vision threatening complications. There was no influence of preoperative serum glucose levels on final visual outcome.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery
    AU  - Sudhir Pendke
    AU  - Iqbal Bombaywala
    AU  - Saloni Singh
    Y1  - 2019/09/05
    PY  - 2019
    N1  - https://doi.org/10.11648/j.ijovs.20190403.14
    DO  - 10.11648/j.ijovs.20190403.14
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 58
    EP  - 62
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20190403.14
    AB  - Background: Cataract in diabetic patients is a major cause of visual impairment in the world. The aim of cataract surgery in diabetics with raised serum glucose levels is to achieve good postoperative vision and reduced complications. Purpose: The purpose of this study is to observe the intraoperative and postoperative complications and postoperative visual acuity after cataract surgery with intraocular lens implantation in diabetic patients with raised preoperative random blood sugar levels. Materials and method: A single surgeon carried out manual small incision cataract surgery followed by implantation of a posterior chamber intraocular lens. Patients were followed up at day 1, 6 weeks, 6 months and 1 year after surgery. At every visit Best Corrected Visual Acuity, measurement of intraocular pressure, anterior segment examination by slit lamp and dilated fundus examination was done. Result: Maximum number of patients was having excellent visual acuity (85.3%) at 6 weeks follow up and in accordance to WHO recommendations. The most common postoperative complications were early postoperative fibrinous exudates (28.2%), cystoid macular edema (23%), posterior capsular opacification (20.5%). Conclusion: In this study, we observed that over one year period, diabetic patients with raised serum glucose levels who underwent cataract surgery did not show any vision threatening complications. There was no influence of preoperative serum glucose levels on final visual outcome.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Ophthalmology, Shri Vasantrao Naik Government Medical College Yavatmal, Maharashtra University of Health Sciences, Maharashtra, India

  • Department of Ophthalmology, Shri Vasantrao Naik Government Medical College Yavatmal, Maharashtra University of Health Sciences, Maharashtra, India

  • Department of Ophthalmology, Shri Vasantrao Naik Government Medical College Yavatmal, Maharashtra University of Health Sciences, Maharashtra, India

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