Frequency of Complications Following Cataract Surgery in Diabetic Patients at Tertiary Care Hospital
DOI:
https://doi.org/10.37762/jgmds.9-1.157Keywords:
Cataract, Diabetes Mellitus , Uveitis, Posterior Capsule Opacification, Striate Keratopathy, Progression Diabetic RetinopathyAbstract
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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Katibeh M, Behboudi H, Moradian S, Alizadeh Y, Beiranvand R, Sabbaghi H, et al. Rapid assessment of avoidable blindness and diabetic retinopathy in Gilan Province, Iran. Ophthalmic Epidemiol. 2017;24(6):381-7 DOI: https://doi.org/10.1080/09286586.2017.1307993
Lundström M, Goh PP, Henry Y, Salowi MA, Barry P, Manning S, et al. The changing pattern of cataract surgery indications: 5-year study of 2 cataract surgery databases. Ophthalmology. 2015;122(1):31-8 DOI: https://doi.org/10.1016/j.ophtha.2014.07.047
Cheng F, Shan L, Song W, Fan P, Yuan H. Distance and near visual impairment in rural Chinese adults in Kailu, Inner Mongolia. Acta Ophthalmol. 2016;94(4):407-13. DOI: https://doi.org/10.1111/aos.12808
Li X, Liu W, Huang X, Xiong J, Wei X. Interaction of AR and iNOS in lens epithelial cell: a new pathogenesis and potential therapeutic targets of diabetic cataract. Arch Biochem Biophys. 2017;615:44-52 DOI: https://doi.org/10.1016/j.abb.2017.01.007
Day AC, Donachie PH, Sparrow JM, Johnston RL. United Kingdom national ophthalmology database study of cataract surgery: report 3: pseudophakic retinal detachment. Ophthalmology. 2016;123(8):1711-5 DOI: https://doi.org/10.1016/j.ophtha.2016.04.002
Mumtaz SN, Fahim MF, Arslan M, Shaikh SA, Kazi U, Memon MS. Prevalence of diabetic retinopathy in Pakistan: a systematic review. Pak J Med Sci. 2018;34(2):493. DOI: https://doi.org/10.12669/pjms.342.13819
Szakáts I, Sebestyén M, Tóth É, Purebl G. Dry eye symptoms, patient-reported visual functioning, and health anxiety influencing patient satisfaction after cataract surgery. Curr Eye Res. 2017;42(6):832-6 DOI: https://doi.org/10.1080/02713683.2016.1262429
Llop SM, Papaliodis GN. Cataract surgery complications in uveitis patients: a review article. Semin Ophthalmol. 2018;33(1):64-9 DOI: https://doi.org/10.1080/08820538.2017.1353815
Peterson SR, Silva PA, Murtha TJ, Sun JK. Cataract surgery in patients with diabetes: management strategies. Semin Ophthalmol. 2018;33(1):75-82 DOI: https://doi.org/10.1080/08820538.2017.1353817
Kelkar A, Kelkar J, Mehta H, Amoaku W. Cataract surgery in diabetes mellitus: a systematic review. Indian J Ophthalmol. 2018;66(10):1401 DOI: https://doi.org/10.4103/ijo.IJO_1158_17
Zhao LQ, Cheng JW. A systematic review and meta-analysis of clinical outcomes of intravitreal anti-VEGF agent treatment immediately after cataract surgery for patients with diabetic retinopathy. J Ophthalmol. 2019;2019:1-10 DOI: https://doi.org/10.1155/2019/2648267
Ngweme G, Bambi MT, Lutete LF, Kilangalanga NJ, Hopkins A, Stachs O, et al. Ophthalmic ultrasonography in Sub-Saharan Africa-a Kinshasa experience. Diagnostics. 2021;11(11):2009 DOI: https://doi.org/10.3390/diagnostics11112009
Do VQ, McCluskey P, Palagyi A, Stapleton FJ, White A, Carnt N, et al. Are cataract surgery referrals to public hospitals in Australia poorly targeted?. Clin Exp Ophthalmol. 2018;46(4):364-70 DOI: https://doi.org/10.1111/ceo.13057
Lee GI, Lim DH, Chi SA, Kim SW, Shin DW, Chung TY. Risk factors for intraocular lens dislocation after phacoemulsification: a nationwide population-based cohort study. Am J Ophthalmol. 2020;214:86-96 DOI: https://doi.org/10.1016/j.ajo.2020.03.012
Song E, Qian DJ, Wang S, Xu C, Pan CW. Refractive error in Chinese with type 2 diabetes and its association with glycaemic control. Clin Exp Optom. 2018;101(2):213-9 DOI: https://doi.org/10.1111/cxo.12606
Silpa-Archa S, Papirachnart A, Singhanetr P, Preble JM. Risk factors for endophthalmitis after cataract surgery in diabetic patients: a case control study. Int J Ophthalmol. 2019;12(3):417
Ajiya A, Abdullahi H, Shuaibu IY. Clinicopathologic profile of sinonasal neoplasia in Kano, Northwestern Nigeria: a 10-year single-institution experience. Ann Afr Med. 2020;19(3):191 DOI: https://doi.org/10.4103/aam.aam_46_19
Grzybowski A, Kanclerz P, Huerva V, Ascaso FJ, Tuuminen R. Diabetes and phacoemulsification cataract surgery: difficulties, risks and potential complications. J Clin Med. 2019;8(5):716 DOI: https://doi.org/10.3390/jcm8050716
Pukl SS, Valentinčič NV, Urbančič M, Grčar II, Grčar R, Pfeifer V, et al. Visual acuity, retinal sensitivity, and macular thickness changes in diabetic patients without diabetic retinopathy after cataract surgery. J Diabetes Res. 2017;2017:1-8 DOI: https://doi.org/10.1155/2017/3459156
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 oedema. Br J Ophthalmol. 2017;101(12):1673-8 DOI: https://doi.org/10.1136/bjophthalmol-2016-309838
Watanabe T, Keino H, Nakayama K, Taki W, Echizen N, Okada AA. Clinical features of patients with diabetic anterior uveitis. Br J Ophthalmol. 2019;103(1):78-82 DOI: https://doi.org/10.1136/bjophthalmol-2017-311453
Gaskin GL, Pershing S, Cole TS, Shah NH. Predictive modeling of risk factors and complications of cataract surgery. Eur J Ophthalmol. 2016;26(4):328-37 DOI: https://doi.org/10.5301/ejo.5000706
Wu S, Tong N, Pan L, Jiang X, Li Y, Guo M, et al. Retrospective analyses of potential risk factors for posterior capsule opacification after cataract surgery. J Ophthalmol. 2018;2018:1-7 DOI: https://doi.org/10.1155/2018/9089285
Singh RP, Lehmann R, Martel J, Jong K, Pollack A, Tsorbatzoglou A, et al. Nepafenac 0.3% after cataract surgery in patients with diabetic retinopathy: results of 2 randomized phase 3 studies. Ophthalmology. 2017;124(6):776-85 DOI: https://doi.org/10.1016/j.ophtha.2017.01.036
Sasongko MB, Rogers S, Constantinou M, Sandhu SS, Wickremasinghe SS, Al‐Qureshi S, et al. Diabetic retinopathy progression 6 months post‐cataract surgery with intravitreous bevacizumab vs triamcinolone: a secondary analysis of the DiMECAT trial. Clin Exp Ophthalmol. 2020;48(6):793-801 DOI: https://doi.org/10.1111/ceo.13771
Balta O, Sungur G, Acar MA, Kosker M, Yakin M, Ornek F. Long-term results of cataract surgery in patients with anterior uveitis. Int Ophthalmol. 2018;38(4):1399-407 DOI: https://doi.org/10.1007/s10792-017-0598-z
Shaikh AR, Mirani AH, Memon MS, Fahim MF. Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients: a comparative study. Pak J Med Sci. 2017;33(3):691 DOI: https://doi.org/10.12669/pjms.333.12589
Chu CJ, Johnston RL, Buscombe C, Sallam AB, Mohamed Q, Yang YC, et al. Risk factors and incidence of macular edema after cataract surgery: a database study of 81984 eyes. Ophthalmology. 2016;123(2):316-23 DOI: https://doi.org/10.1016/j.ophtha.2015.10.001
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Copyright (c) 2022 Muhammad Bilal, Shafqat Ali Shah, Marina Murad, Saad Ali, Ammad Ali, Muhammad Ayub
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