Incidence of and Risk Factors for Steroid Response after Cataract Surgery in Patients with and without Glaucoma

We examined postoperative corneal higher-order aberrations (HOAs) present after combined phacoemulsification with either microhook ab interno trabeculotomy (μLOT-Phaco) or goniotomy, using the Kahook Dual Blade (KDB-Phaco). Retrospective study: A total of 45 eyes underwent μLOT-Phaco and KDB-Phaco (LOT-Phaco) procedures, with 21 eyes that underwent cataract surgery alone used as controls. Visual acuity and corneal HOAs, coma-like aberrations, and spherical-like aberrations were analyzed before and at 1, 2, and 3 months after the surgeries. Risk factors that could potentially influence HOAs were evaluated. No significant postoperative changes were noted for corneal HOAs, coma-like aberrations, and spherical-like aberrations after cataract surgery alone. The mean corneal HOAs, coma-like aberrations, and spherical-like aberrations were 0.222 ± 0.115 μm, 0.203 ± 0.113 μm, and 0.084 ± 0.043 μm at baseline and 0.326 ± 0.195 μm (p < 0.001), 0.302 ± 0.289 μm (p = 0.03), and 0.150 ± 0.115 μm (p < 0.001) at 3 months after LOT-Phaco, respectively. Results of the analysis for risk factors suggested that a longer incision in Schlemm’s canal could influence corneal HOAs, coma-like aberrations, and spherical-like aberrations after LOT-Phaco. Although no significant postoperative changes were observed in corneal HOAs and coma-like or spherical-like aberrations after cataract surgery alone, a significant increase in corneal HOAs and coma-like or spherical-like aberrations remained after the LOT-Phaco procedure.

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CATARACT SURGERY AND PROGRESSION OF DIABETIC RETINOPATHY

Journal of Nepal Medical Association ◽

10.31729/jnma.782 ◽

2003 ◽

Vol 41 (143) ◽

pp. 433-437

Author(s):

Sudesh Subedi

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Diabetic Retinopathy ◽

Cataract Surgery ◽

Cataract Extraction ◽

Extracapsular Cataract Extraction ◽

Vitreous Loss ◽

Clinically Significant Macular Edema ◽

Clinically Significant ◽

Form Type

Patient with diabetes mellitus have a higher prevalence of lens opacity 1and cataractdevelopment at an earlier age than non diabetic.2Cataract in diabetes mellitus decreasesthe visual acuity, makes posterior segment evaluation and laser treatment difficult.Several studies have shown that there is progression of diabetic retinopathy after cataractsurgery. In all studies, criteria for progression of diabetic retinopathy are:a) progression of any form/type or stage of diabetic eye (DE), nonproliferative diabeticretinopathy (NPDR) or proliferative diabetic retinopathy (PDR) to any advanced,recurrent form/ type or stage of NPDR or PDR andb) development of new clinically significant macular edema (CSME) and/or worsening/recurrent of preexisting CSME defined by Early Treatment Diabetic RetinopathyStudy (ETDRS).• More severe the preexisting diabetic retinopathy (DR), much worse the DR aftercataract extraction. The progression of DR after cataract extraction is severe inIntracapsular Cataract Extraction (ICCE) than Extracapsular Cataract Extraction(ECCE) with Intraocular Lens (IOL) and Sutureless Small Incision CataractSurgery (SICS) and Phacoemulcification.• Progression of DR increases with complicated cataract surgery, like posteriorcapsular rupture (PCR), vitreous loss and prolonged surgery.• The first 6 months period is crucial as a minimum period of follow up to detectprogression of DR.• There are other several local and systemic risk factors for the progression of DR,like hypertension, renal failure, ischemic heart disease, high cholesterol andtriglyceride level, pregnancy etc.Key Words: Diabetic retinopathy, cataract surgery, risk factors

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Incidence and Risk Factors for Chronic Uveitis following Cataract Surgery

Ocular Immunology and Inflammation ◽

10.3109/09273948.2012.752013 ◽

2013 ◽

Vol 21 (2) ◽

pp. 130-134 ◽

Cited By ~ 4

Author(s):

Chirag Patel ◽

Stephen Jae Kim ◽

Amy Chomsky ◽

Mazeyar Saboori

Keyword(s):

Risk Factors ◽

Cataract Surgery ◽

Chronic Uveitis

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Risk Factors for Acute Endophthalmitis after Cataract Surgery: A Population-based Study

Ophthalmology ◽

10.1016/j.ophtha.2008.09.039 ◽

2009 ◽

Vol 116 (3) ◽

pp. 425-430 ◽

Cited By ~ 92

Author(s):

Wendy V. Hatch ◽

Geta Cernat ◽

David Wong ◽

Robert Devenyi ◽

Chaim M. Bell

Keyword(s):

Risk Factors ◽

Cataract Surgery ◽

Population Based ◽

Population Based Study

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Dry eye risk factors after phacoemulsification cataract surgery at a secondary care hospital

International Journal of Health & Allied Sciences ◽

10.4103/2278-344x.126711 ◽

2013 ◽

Vol 2 (4) ◽

pp. 242 ◽

Cited By ~ 2

Author(s):

RajeshK Chudasama ◽

Siddhesh Bapat ◽

Kamla Dodia

Keyword(s):

Risk Factors ◽

Cataract Surgery ◽

Dry Eye ◽

Secondary Care ◽

Care Hospital ◽

Phacoemulsification Cataract Surgery

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Risk Factors Associated with Persistent Anterior Uveitis After Cataract Surgery

American Journal of Ophthalmology ◽

10.1016/j.ajo.2019.03.032 ◽

2019 ◽

Vol 205 ◽

pp. 198-199

Author(s):

Jagdeep Singh Gandhi

Keyword(s):

Risk Factors ◽

Cataract Surgery ◽

Anterior Uveitis ◽

Factors Associated

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Vitamin C and the Lens: New Insights into Delaying the Onset of Cataract

Nutrients ◽

10.3390/nu12103142 ◽

2020 ◽

Vol 12 (10) ◽

pp. 3142

Author(s):

Julie C Lim ◽

Mariana Caballero Arredondo ◽

Andrea J. Braakhuis ◽

Paul J. Donaldson

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Vitamin C ◽

Oxidative Damage ◽

Cataract Surgery ◽

Future Studies ◽

The World ◽

Diabetic Population ◽

Lens Physiology

Cataracts or clouding of the lens is the leading cause of blindness in the world. Age and diabetes are major risk factors, and with an increasing aging and diabetic population, the burden of cataracts will grow. Cataract surgery is an effective way to restore vision; however, alternatives to cataract surgery are required to reduce the looming cataract epidemic. Since it is well established that oxidative damage plays a major role in the etiology of cataracts, antioxidants have been promoted as therapies to delay and/or prevent cataracts. However, many antioxidant interventions including vitamin C have produced mixed results as anti-cataract therapies. Progress has been made towards our understanding of lens physiology and the mechanisms involved in the delivery and uptake of antioxidants to the lens which may guide future studies aimed at addressing some of the inconsistencies seen in previous animal and human studies. Of interest is the potential for vitamin C based supplements in delaying the onset of cataracts post vitrectomy which occurs in up to 80% of patients within two years. These targeted approaches are required to reduce the burden of cataract on hospitals and improve the quality of life of our aging and diabetic population.

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