Does diabetic retinopathy increase the incidence of intraoperative complications of phacoemulsification surgery?

Abstract

PURPOSE:

To evaluate the rates of intraoperative and early postoperative complications (IEPC) and the duration of phacoemulsification (DOP) in the eyes with and without diabetic retinopathy and the effect of oral and topical nonsteroidal anti-inflammatory agents (NSAIDs) on surgically induced miosis (SIM).

MATERIALS AND METHODS:

Phacoemulsification was applied to 50 eyes with proliferative diabetic retinopathy (PDR), 50 eyes with nonproliferative diabetic retinopathy (NPDR), and 50 eyes with no other ocular findings. NSAIDs were used perioperatively. The parameters evaluated were IEPC, DOP and the effect of NSAIDs on SIM.

RESULTS:

The rates of IEPC and the DOP were significantly higher in the PDR group compared with the NPDR and control groups. Diabetes mellitus (DM) type had no significant effect on these parameters. The rate of SIM was higher in the eyes with PDR compared with the eyes with NPDR and the controls despite use of NSAIDs.

CONCLUSION:

Our results indicates that eyes with PDR are significantly more prone to IEPC, while the type of DM is not a predictor factor. DOP is longer in the eyes with PDR. In spite of NSAID use, SIM is more commonly observed in eyes with PDR.

• Authors: Arsen Akinci, Cosar Batman, Orhan Zilelioglu
• Journal: International ophthalmology (Int Ophthalmol) Vol. 26 Issue 6 Pg. 229-34 (Dec 2005) ISSN: 0165-5701 [Print] Netherlands
• PMID: 17318323 (Publication Type: Journal Article)

Chemical References

• Anti-Inflammatory Agents, Non-Steroidal

Topics

• Adult
• Aged
• Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
• Cataract (complications)
• Diabetic Retinopathy (complications, pathology)
• Female
• Humans
• Incidence
• Intraoperative Complications
• Lens Implantation, Intraocular
• Male
• Middle Aged
• Phacoemulsification (adverse effects)
• Prognosis
• Risk Factors
• Time Factors
• Visual Acuity