Details

Autor(en) / Beteiligte

• Rajan, Merin Susan

Titel

A Study of Visual Outcome and Complications Following Cataract Surgery in Diabetic Patients Attending a Tertiary Care Centre

Ort / Verlag

ProQuest Dissertations & Theses

Erscheinungsjahr

2019

Link zum Volltext

• ProQuest

Quelle

ProQuest Dissertations & Theses A&I

Beschreibungen/Notizen

• AIM :• To study the post operative visual outcome after cataract surgery in diabetics patients.• To study the causes of poor visual outcome after cataract surgery in diabetic patients.• To study the complications following catatract surgery in diabetic patientsBACKGROUND:Cataract has been documented to be the most significant cause of bilateral blindness in India. In India cataract is the principle cause of blindness accounting for 62.6% cases of blindness.Diabetes is increasingly common systemic disease and many patients seeking cataract surgery have co existing diabetic eye disesase. Epidemiological data suggest that there is increasing incidence of diabetes mellitus in developing countries. Person with diabetes mellitus have been found to be at increased risk of developing cataract when compared to non diabetic.Cataract surgery in diabetics is indicated for visual improvement or to allow assessment and treatment of retinopathy. Poor visual outcome in diabetics has been linked with severity of retinopathy and maculopathy prior to cataract. Preoperatively in diabetics it is recognized that there is higher incidence of pigment dispersion and fibrinous reaction in anterior chamber, together with development of posterior synechiae as well as increased risk of capsule rupture and vitreous lossDiabetic patients are more prone to postoperative complications such as rubeosis, neovascular glaucoma, macular edema, synechiae to IOL, severe inflammation [iritis, uveitis, endophthalmitis],vitreous haemorrhage, retinal detachment.Anterior segment complications such as pigment dispersion, appearance of fibrinous reaction, posterior synechiae, pupillary block can develop.Diabetics are more prone to develop posterior capsule opacification post operatively.Hence this study is undertaken to know the post operative complications and visual outcome after cataract surgery in diabetic patients attending our hospital.Materials and Methods:This is a one year prospective study which included a total of 200 subjects. A written informed consent was obtained from all subjects. Detailed history and comprehensive ophthalmological examination was done.Investigations included fasting and post prandial blood sugar levels, fasting serum lipid profile, and complete blood count which included haemoglobin levels, TLC blood urea, serum creatinine,. Diabetic In patients who underwent cataract surgery at AJIMS, Mangalore were enrolled for the study after obtaining written informed consent. The patient were followed up for 6 weeks post operatively.SURGICAL TECHNIQUE – SMALL INCISION CATARACT SURGERY.RESULTS– A total of 200 patients were included in the study .The incidence of cataract in diabetes with regard to age was evaluated and this study shows that nearly half (47%) of patients are between 51-60 years. Nearly 80 % showed cortical changes ,16% had nuclear changes ,PSCC in 4%, ASCC in 1%. Hypertension was observed in 16% patients which was the most common associated systemic disease. In Intraoperative complications- intraoperative miosis (12%) was the most common complication followed by vitreous loss (8%) , posterior capsular rent (6%).Postoperative corneal edema 20% was most common post operative complication after 24 hours , followed by post operative inflammation (10%).Cystoid macular edema was the most common long term complication .