| Peer-Reviewed

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
Views:       Downloads:
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), 2024. Published by Science Publishing Group

Keywords

Cataract, Diabetes Mellitus, Complications, Visual Outcome

References
[1] Harrison’s Principles of Internal Medicine 18th edition.
[2] International Diabetes Federation (IDF). Diabetes Atlas 7th Edition, International Diabetes Federation Brussel, Belgium. 2015. http://www.diabetesatlas.org.
[3] Ebihara Y, Kato S, Oshika T, Yoshizaki M, Sugita G. posterior capsule opacification after cataract surgery in patients with diabetes mellitus cataract refract surg 2006: 32 (7): 1184-7.
[4] Drinkwater JJ, Davis WA, Davis TME. A systemic review of risk factors for cataract in type 2 diabetes. Diabetes Metab Res Rev. 2019; 35: e3073.
[5] Kador PF, Wyman M, Oates PJ. Aldose reductase, ocular diabetic complications and development of topical Kinostat. ProgRetin Eye Res 2016; 54: 1-29.
[6] Kataria AS, Thompson JT. Cataract formation and progression in patients less than 50 years of age after vitrectomy. Ophthalmol Retina 2017; 1: 149-53.
[7] Pollreisz A, Schmidt-Erfurth U. Diabetic cataract-pathogenesis, epidemiology and treatment. J Ophthalmol 2010; 2010: 608751.
[8] Rowe NG, Mitchell PG, Cumming RG, Wans JJ. Diabetes, fasting blood glucose and age-related cataract: The Blue Mountains Eye Study. Ophthalmic Epidemiol 2000; 7: 103-14.
[9] Cunliffe IA, Flanagan DW, George NDL, Aggarwaal RJ, Moore AT. Extracapsular cataract surgery with lens implantation in diabetics with or without proliferative retinopathy. Br J Ophthalmol. 1991; 75: 9-12.
[10] Denniston AK, Chakravarthy U, Zhu H, Lee AY, Crabb DP, Tufail A, et al. The UK diabetic retinopathy electronic medical record (UK DR EMR) users group, report 2: Real-world data for the impact of cataract surgery on diabetic macular edema. Br J Ophthalmol 2017; 101: 1673-8.
[11] Zaczek A, Zetterstorm C. posterior capsule opacification after phacoemulsification in patients with diabetes mellitus cataract Refract surg 1999: 25 (2): 233-7.
[12] Ebihara Y, Kato S, Oshika T, Yoshizaki M, Sugita G. Posterior capsule opacification after cataract surgery in patients with diabetes mellitus. J Cataract Refract Surg 2006; 32: 1184-7.
[13] Cahill M, Eustace P, de Jesus V. Pupillary autonomic denervation with increasing duration of diabetes mellitus. Br J Ophthalmol. 2001; 85: 1225-30.
[14] Jardeleza MS, Miller JW. Review of anti-VEGF therapy in proliferative diabetic retinopathy. SeminOphthalmol 2009; 24: 87-92.
[15] Shih KC, Lam KS, Tong L. Asystematic review on the impact of diabetes mellitus on the ocular surface. Nutr Diabetes 2017; 7: e251.
[16] Morikubo S, Takamura Y, Kubo E, Tsuzuki S, Akagi Y. Corneal changes after small-incision cataract surgery in patients with diabetes mellitus. Arch Ophthalmol 2004; 122: 966-9.
[17] Hugod M, Storr-Paulen A, Norregaard JC, Nicolini J, Larsen AB, Thulsen J, et al. Corneal endothelial cell changes associated with cataract surgery in patients with type 2 diabetes mellitus. Cornea 2011; 30: 749-53.
[18] Yang R, Sha X, Zeng M, Tan Y, Zheng Y, Fan F, et al. The influence of phacoemulsification on corneal endothelial cells at varying blood glucose levels. Eye Sci 2011; 26: 91-5.
[19] Shih KC, Lam KS, Tong L. A systemic review on the impact of diabetes mellitus on the ocular surface. Nutr Diabetes 2017; 7: e251.
[20] Cunliffe IA, Flanagan DW, George NDL, Aggarawaal RJ, Moore AT. Extracapsular cataract surgery with lens implantation in diabetics with or without proliferative retinopathy. Br J Ophthalmol. 1991; 75: 9-12.
[21] Gabric N, Henc-Petrinovic L, Dekaris I, Busic M, Ptrinovic-Doresic J. Timing of cataract surgery in diabetics. Acta Med Croatia. 1996; 50: 25-8.
[22] Mechini U, Cappelli S, Virgili G. Cataract surgery and diabetic retinopathy. SeminOphthalmol. 2003; 18: 103-8.
[23] Ostri C, Lund Andersen H, Sander B, La Cour M. Phacoemulsification cataract surgery in a large cohort of diabetes patients; visual acuity outcomes and prognostic factors. J Catarct Refract Surg. 2011; 37 (11); 2006-12.
[24] Oluwatoyin H, Onakpoya, Charles 0, Bekibele, and Stella A. Adegbehingbe. Cataract Surgical Outcomes In Diabetic Patients: Case Control Study. Middle East Afr J Ophthalmol. 2009 Apr-Jun; 16 (2): 88-91.
[25] Mechini U, Cappelli S, Virgili G. Cataract surgery and diabetic retinopathy. SeminOphthalmol. 2003; 18: 103-8.
[26] Ivancic D, Mandic Z, Brac C, Kopic M. Cataract surgery and post operative complication in diabetic patients. CollAntropol. 205; 29: 55-8.
[27] Wielders LHLambermontVASchouten JS, et al. Prevention of cystoids macular edema after cataract surgery in nondiabetic and diabetic patients: a systemic review and meta-analysis. Am J Ophthalmol 2015; 160: 968-81.
[28] El-MollayessGMSaadehJSSalti HI. Exogenous endophthalmitis in diabetic patients: a systemic review. ISRN Ophthalmol 2012; 456209. doi: 10.5402/2012/456209.eCollection 2012.
[29] JabbarvandMHashemianHKhodaparast M JouhariMTabatabaeiARezaei S. Endophthalmitis occurring after cataract surgery: outcomes of more than 480 000 cataract surgeries, epidemiologic features, and risk factors. Ophthalmology 2016; 123: 295-301.
[30] Krepler K, Biowski R, Schrey S, Jandrasits K, Wedrich A. Cataract surgery in patients with diabetic retinopathy: visual outcome, progression ofdiabetic retinopathy, and incidence of diabetic macular edema. Grafes Arch ClinExpOphthalmol. 2002; 240 (9); 735-738.
[31] Hjortrup A, Sorensen C, Dyremose E, Hjortso NC, Kehlet H. Influence of diabetes mellitus on operative risk. Br J Surg. 1985; 72 (10); 783-5.
[32] Nascimento MA, Lira RP, Kara-Jose n, Arieta CE. Predictive value of preoperative fasting glucose test of diabetic patients regarding surgical outcome in cataract surgery. Arq Bras Oftalmol. 2005; 68: 213-7.
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

    Copy | Download

    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

    Copy | Download

    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

    Copy | Download

  • @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}
    }
    

    Copy | Download

  • 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  - 

    Copy | Download

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

  • Sections