Comparison of Retinal Perfusion Between Diabetic and Non-diabetic Patients With OCT Angiography After Cataract Surgery.

Purpose. To evaluate the capacity of OCT angiography (OCTA) for detecting infraclinical lesions in parafoveal capillaries in diabetic patients without diabetic retinopathy (DR). Methods. This prospective observational cross-sectional case-control study analyzed the superficial and deep capillary plexuses (SCP and DCP) on macular OCTA scans (3 × 3 mm) centered on the fovea. We compared 22 diabetic patients (34 eyes included) without DR diagnosis on color fundus photographs, with 22 age- and gender-matched nondiabetic controls (40 eyes included). Qualitative analysis concerned morphological ischemic capillary alterations. Quantitative analysis measured foveal avascular zone (FAZ) size, parafoveal capillary density, and enlargement coefficient of FAZ between SCP and DCP. Results. Neither the qualitative nor quantitative parameters were significantly different between both groups. No microaneurysms or venous tortuosity was observed in any of the analyzed images. On the SCP, the mean FAZ area was 0.322 ± 0.125 mm2 in diabetic patients and 0.285 ± 0.150 mm2 in controls, P=0.31. On the DCP, the mean FAZ area was 0.444 ± 0.153 mm2 in cases and 0.398 ± 0.138 mm2 in controls, P=0.20. Conclusion. OCTA did not detect infraclinical qualitative or quantitative differences in parafoveal capillaries of diabetic patients without DR in comparison with nondiabetic controls.

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Frequency of Complications Following Cataract Surgery in Diabetic Patients at Tertiary Care Hospital

Journal of Gandhara Medical and Dental Science ◽

10.37762/jgmds.9-1.157 ◽

2022 ◽

Vol 9 (1) ◽

pp. 75-81

Author(s):

Muhammad Bilal ◽

Shafqat Ali Shah ◽

Marina Murad ◽

Saad Ali ◽

Ammad Ali ◽

...

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Tertiary Care ◽

Case Series ◽

Female Gender ◽

Posterior Capsule Opacification ◽

Posterior Capsule ◽

Diabetic Patients ◽

Care Hospital ◽

Case Series Study

OBJECTIVES: To determine the frequency of complications following cataract surgery in diabetic patients admitted in the ophthalmology unit. METHODOLOGY: A prospective descriptive interventional case series study was conducted after approval of the ethical committee, from June 2017-June 2020 at the Ophthalmology department MTI-MMC. A total of 129 patients from either gender were enrolled in study. All the study patients went through detailed history and complete ocular examination. After necessary investigations, surgical procedure was carried out. Results were analyzed through the SPSS-24 version. RESULTS: Out of the total 129 eyes of the diabetic patients, fifty-nine (45.7%) were males and seventy (54.3%) were females with a ratio of 1:1.2. Uveitis leads the chart in complications found in twenty (15.50%) eyes while PODR being the least common found in only ten (7.75%) eyes. Worse visual acuity was observed in fourteen (10.85%) eyes. Striate keratopathy and posterior capsule opacification were found in sixteen (12.40%) and fifteen (11.62%) eyes respectively. Among the patients, 15.7% were having more than one complication during follow-up visits and eighty-eight (68.2%) eyes were found to have none complication. The age group 51-60 years observed frequent complications as compared to other groups. Similarly female gender (38.57%) has frequent complications as compared to males (2.7%). CONCLUSION: The study concludes Uveitis as the most common complication observed in 15.50% 0f the eyes while worse visual acuity (10.85%) and progression of diabetic retinopathy (7.75%) being the least common. Striate keratopathy was found in 12.40% while posterior capsule opacification in 11.62% of the eyes.

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Evaluation of outcomes of cataract surgery in diabetic and non-diabetic patients

International Journal of Medical Ophthalmology ◽

10.33545/26638266.2021.v3.i1b.66 ◽

2021 ◽

Vol 3 (1) ◽

pp. 87-90

Author(s):

Dr. Apurva H Suthar ◽

Dr. Kaushal A Modi

Keyword(s):

Cataract Surgery ◽

Diabetic Patients

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Comparative study of optical coherence tomographic analysis of macula in preoperative and postoperative diabetic patients undergoing small incision cataract surgery

Indian Journal of Clinical and Experimental Ophthalmology ◽

10.18231/j.ijceo.2021.069 ◽

2021 ◽

Vol 7 (2) ◽

pp. 352-357

Author(s):

Shruthi Marati ◽

Vallabha K

Keyword(s):

Diabetic Retinopathy ◽

Cataract Surgery ◽

Macular Edema ◽

Macular Thickness ◽

Diabetic Patients ◽

Optical Coherence ◽

Small Incision Cataract Surgery ◽

Small Incision ◽

Spectral Domain Oct ◽

Quantitative Changes

The clinical evaluation of macular edema has been difficult to characterize, but evaluation has become more precise with the help of optical coherence tomography (OCT). This study is undertaken to evaluate the quantitative changes in macular thickness using spectral domain OCT in diabetic patients undergoing cataract surgery pre and post operatively and its relation with diabetic retinopathy (DR). Study participants included 65 diabetic patients irrespective of presence or absence of retinopathy who underwent cataract surgery. Each eye underwent fundus examination with indirect ophthalmoscopy and OCT of macula i.e.,preoperatively and at postoperatively at day 1, 1 week, 4 weeks and at 12 weeks. Best-corrected visual acuity (BCVA) was recorded at each visit. The central subfield macular thickness (CSMT) increased in all patients irrespective of presence or absence of diabetic retinopathy of about 17.4±25.3µm and 29µm±38.8 at 1 month and 3 month follow up. There was a statistically significant increase seen in CSMT after cataract surgery especially in patients with preoperatively diagnosed macular edema. Associated retinopathy also acts as a risk factor. But there was no statistically significant increase in mild and moderate NPDR preoperatively and also in postoperative period after uncomplicated small incision cataract surgery.

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