Early postoperative complications of cataract surgery in diabetic patients

  • Sanam Munawar Ul Islam Layton Rahmatullah Benevolent Trust, Hospital Sindh
  • Mukesh Pahuja Sindh Government
  • Azfar Mirza Liaquat University of Medical & Health Sciences, Jamshoro
  • Mona Liza Mahesar Institute of Ophthalmology, LUMHS, Jamshoro, Sindh.
  • Ghazi Khan Maree Institute of Ophthalmology, LUMHS, Jamshoro, Sindh.
  • Urooj Bhatti Liaquat University of Medical & Health Sciences, Jamshoro
Keywords: Cataract surgery, Complications, Diabetes Mellitus

Abstract

Background: Progressions in technology and expertise has made cataract surgery a common and safe procedure now but this might be associated with early postoperative complications in diabetics. The objective of this study was to determine the occurrence of early postoperative complications after cataract surgery among diagnosed cases of diabetes mellitus. Methods: This clinical observational analytical study was carried at Department of Ophthalmology, Liaquat University Eye Hospital, Jamshoro from May to Oct 2018. Diagnosed diabetic patients who underwent cataract surgery, were enrolled for this study. The patients with early senile cataract and diagnosed cases of diabetes mellitus with normal arterial pressure and better macular function were included. Patients were enquired for early postoperative findings after cataract surgery. Data was analysed using SPSS-22. Mean±SD for quantitative variables and frequency (%) for qualitative were calculated. Results: Total 91 diabetic patients were included in the study. Early postoperative complications of cataract surgery in diabetic patients were compared according to duration of diabetes mellitus. Visual acuity of most patients remained between 6/6 and 6/24. Diabetics for >5 years were more prone to early postoperative complications as compared to those with <5 years. Statistically significant differences between early postoperative complications in the two groups were observed (p=0.01). Conclusion: Though frequency of complications after cataract surgery has decreased due to advances in surgical techniques, better preoperative assessment, and understanding of diabetes control, still early postoperative complications are common in individuals with longer duration of diabetes.

Pak J Physiol 2021;17(1):12–4

References

Memon AF, Mahar PS, Memon MS, Mumtaz SN, Shaikh SA, Fahim MF. Age-related cataract and its types in patients with and without type 2 diabetes mellitus: A hospital-based comparative study. J Pak Med Assoc 2016;66(10):1272–6.

Adnan M, Aasim M. Prevalence of type 2 diabetes mellitus in adult population of Pakistan: a meta-analysis of prospective cross-sectional surveys. Annals Glob Health 2020;86(1):7.

Aamir AH, Ul-Haq Z, Mahar SA, Qureshi FM, Ahmad I, Jawa A, et al. Diabetes Prevalence Survey of Pakistan (DPS-PAK): Prevalence of type 2 diabetes mellitus and prediabetes using HbA1c: a population-based survey from Pakistan. BMJ Open 2019;9(2):e025300.

Basit A, Fawwad A, Baqa K. Pakistan and diabetes —A country on the edge. Diabetes Res Clin Pract 2019;147:166–8.

Panozzo G, Staurenghi G, Dalla Mura G, Giannarelli D, Alessio G, Alongi S, et al. Prevalence of diabetes and diabetic macular edema in patients undergoing senile cataract surgery in Italy: The Diabetes and Cataract Study. Eur J Ophthalmol 2020;30(2):315–20.

Kador PF, Wyman M, Oates PJ. Aldose reductase, ocular diabetic complications and the development of topical Kinostat®. Prog Retin Eye Res 2016;54:1–29.

Kiziltoprak H, Tekin K, Inanc M, Goker YS. Cataract in diabetes mellitus. World J Diabetes 2019;10(3):140–53.

Haddad NM, Sun JK, Abujaber S, Schlossman DK, Silva PS. Cataract surgery and its complications in diabetic patients. Semin Ophthalmol 2014;29(5-6):329–37).

Peterson SR, Silva PA, Murtha TJ, Sun JK. Cataract Surgery in Patients with Diabetes: Management Strategies, Semin Ophthalmol 2018;33(1):75–82.

Erie JC. Rising cataract surgery rates: demand and supply. Ophthalmology 2014;121(1):2–4.

Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol 2012;96(5):614–8.

Hashim Z, Zarina S. Advanced glycation end products in diabetic and non-diabetic human subjects suffering from cataract. Age (Dordr) 2011;33(3):377–84.

Heesterman BL, Hogewind BF. Phacoemulsification and intraoperative complications in 452 patients with diabetic retinopathy. Semin Ophthalmol 2016;32(4):395–6.

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 Cataract Refract Surg 2011;37(11):2006–12.

Oyewole K, Tsogkas F, Westcott M, Patra S. Benchmarking cataract surgery outcomes in an ethnically diverse and diabetic population: final post-operative visual acuity and rates of post-operative cystoid macular oedema. Eye (Lond) 2017;31(12):1672–7.

Yang J, Cai L, Sun Z, Ye H, Fan Q, Zhang K, et al. Risk factors for and diagnosis of pseudophakic cystoid macular edema after cataract surgery in diabetic patients. J Cataract Refract Surg 2017;43(2):207–14.

Ivancic D, Mandic Z, Barac C, Kopic M. Cataract surgery and postoperative complication in diabetic patients. Coll Antropol 2005;29(Suppl 1):55–8.

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.

Downloads

Download data is not yet available.
Published
2021-03-31
How to Cite
1.
Islam S, Pahuja M, Mirza A, Mahesar ML, Maree G, Bhatti U. Early postoperative complications of cataract surgery in diabetic patients. PJP [Internet]. 31Mar.2021 [cited 27Jul.2021];17(1):12-4. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/1322