Article Sidebar
Views PDF: 66
EVALUATION OF THE RESULTS OF PHACOEMULSIFICATION CATARACT SURGERY AND INFLUENCING FACTORS IN DIABETIC PATIENTS AT KIEN GIANG GENERAL HOSPITAL
Main Article Content
Abstract
Background: Diabetes is a major risk factor for retinopathy and cataract development. Cataract surgery in diabetics may be challenging due to preexisting diabetic eye disease and a higher rate of intra- and postoperative complications that may impact the rate of visual recovery and final visual outcome. Objectives: To evaluate visual outcome, influencing factors in diabetic patients after phacoemulsification. Materials and methods: A cross‐sectional study was conducted on 90 eyes of 87 diabetic patients who had been phacoemulsification with intraocular lens implantation at Kien Giang Hospital from April 2023 to April 2024. Collecting data about age, sex, clinical characteristics, visual acuity pre and post operation, variable of event, complications intra and postoperative. Results: The mean age was 67.32 ± 8.19. The overall mean duration of diabetes was seen to be 7.19 ± 4.19 years. In the sample of 90 eyes, 76 eyes (84.4%) achieved a good visual outcome of 20/40 or better. At postoperative 1month, mean LogMar was 0.16 ± 0.09 in Non-Diabetic retinopathy patients and 0.29 ± 0.12 in diabetic retinopathy patients while difference in visual acuity was statistically significant (p<0.001). Conclusion: Among individuals with diabetes, phacoemulsification surgery achieves a good visual outcome of 20/40 or better with a high rate (84.4%) and safety. Factors affecting vision after surgery are preoperative visual acuity, age, diabetic retinopathy, and hardness of the lens.
Article Details
Keywords
Diabetic retinopathy, diabetics, phacoemulsification cataract surgery
References
2. Nguyễn Bảo Hiền, Đoàn Văn Đệ, Nguyễn Văn Đàm. Khảo sát tỷ lệ một số biểu hiện tổn thương mắt ở bệnh nhân đái tháo đường tuýp 2. Tạp chí Y học Việt nam. 2022. 515 (2), 148-52, doi:https://doi.org/10.51298/vmj.v515i2.2777.
3. Lê Thị Diệu Hiền. Đánh giá kết quả phẫu thuật nhũ tương hóa thể thủy tinh ở bệnh nhân đái tháo đường tại bệnh viện Nguyễn Trãi, Đại học Y Dược Phạm Ngọc Thạch. 2018.
4. Nguyễn Mạnh Đạt, Hoàng Thị Phúc, Nguyễn Thị Thu Trang. Đánh giá kết quả phẫu thuật phaco đặt kính nội nhãn điều trị đục thể thủy tinh trên bệnh nhân đái tháo đường tại bệnh viện tỉnh Hà Nam. Tạp Chí Y Học Việt Nam. 2023. 523 (1), 29-32, doi:https://doi.org/10.51298/vmj.v523i1.4401.
5. Liu L., Herrinton L. J., Alexeeff S., Karter A. J., Amsden L. B., et al. Visual outcomes after cataract surgery in patients with type 2 diabetes. J Cataract Refract Surg. 2019. 45 (4), 404-13, doi:10.1016/j.jcrs.2018.11.002.
6. Lee D., Agron E., Keenan T., Lovato J., Ambrosius W., et al. Visual acuity outcomes after cataract surgery in type 2 diabetes: the Action to Control Cardiovascular Risk in Diabetes (ACCORD) study. British Journal of Ophthalmology. 2022. 106 (11), 1496, doi:10.1136/bjophthalmol-2020-317793.
7. Chancellor J., Soliman M. K., Shoults C. C., Faramawi M. F., Al-Hindi H., et al. Intraoperative
Complications and Visual Outcomes of Cataract Surgery in Diabetes Mellitus: A Multicenter Database Study. American Journal of Ophthalmology. 2021. 225 47-56, doi:http://doi.org/10.1016/j.ajo.2020.12.027.
8. Kiziltoprak H., Tekin K., Inanc M., Goker Y. S. Cataract in diabetes mellitus. World J Diabetes. 2019. 10 (3), 140-53, doi:10.4239/wjd.v10.i3.140.
9. Konopińska J., Młynarczyk M., Dmuchowska D. A., Obuchowska I. Posterior Capsule Opacification: A Review of Experimental Studies. J Clin Med. 2021. 10 (13), doi:10.3390/jcm10132847.
10. Giuliani B. P., Agarwal I., Naik M. P. Effect of Uncomplicated Cataract Surgery on Central Macular Thickness in Diabetic and Non-diabetic Subjects. J Ophthalmic Vis Res. 2019. 14 (4), 442-7, doi:10.18502/jovr.v14i4.5447.