Volume 4, Issue 3, September 2019, Page: 58-62
The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery
Sudhir Pendke, Department of Ophthalmology, Shri Vasantrao Naik Government Medical College Yavatmal, Maharashtra University of Health Sciences, Maharashtra, India
Iqbal Bombaywala, Department of Ophthalmology, Shri Vasantrao Naik Government Medical College Yavatmal, Maharashtra University of Health Sciences, Maharashtra, India
Saloni Singh, Department of Ophthalmology, Shri Vasantrao Naik Government Medical College Yavatmal, Maharashtra University of Health Sciences, Maharashtra, India
Received: Jul. 16, 2019;       Accepted: Aug. 21, 2019;       Published: Sep. 5, 2019
DOI: 10.11648/j.ijovs.20190403.14      View  27      Downloads  8
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.
Keywords
Cataract, Diabetes Mellitus, Complications, Visual Outcome
To cite this article
Sudhir Pendke, Iqbal Bombaywala, Saloni Singh, The Effect of Raised Preoperative Serum Glucose Levels on Outcomes of Cataract Surgery, International Journal of Ophthalmology & Visual Science. Vol. 4, No. 3, 2019, pp. 58-62. doi: 10.11648/j.ijovs.20190403.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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