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Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study

OBJECTIVE: To compare the visual outcomes of phacoemulsification surgery with intraocular lens (IOL) in persons with and without diabetes at end of follow-up. METHODS: This was a comparative, cross sectional, observational study with Non-probability, purposive sampling. After approval from “Research...

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Autores principales: Shaikh, Abdul Rashid, Mirani, Abdul Haleem, Memon, Muhammad Saleh, Fahim, Muhammad Faisal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510128/
https://www.ncbi.nlm.nih.gov/pubmed/28811796
http://dx.doi.org/10.12669/pjms.333.12589
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author Shaikh, Abdul Rashid
Mirani, Abdul Haleem
Memon, Muhammad Saleh
Fahim, Muhammad Faisal
author_facet Shaikh, Abdul Rashid
Mirani, Abdul Haleem
Memon, Muhammad Saleh
Fahim, Muhammad Faisal
author_sort Shaikh, Abdul Rashid
collection PubMed
description OBJECTIVE: To compare the visual outcomes of phacoemulsification surgery with intraocular lens (IOL) in persons with and without diabetes at end of follow-up. METHODS: This was a comparative, cross sectional, observational study with Non-probability, purposive sampling. After approval from “Research Ethical Committee of Isra Post-graduate Institute of Ophthalmology Karachi, 92 patients with cataract in one eye were selected. Patients were divided into two groups. Group A consisted of 48 diabetics and group B consisted of 44 non- diabetics with or without diabetes in the age group ≥ 30 years were included. Patients with small Pupil, Pseudo exfoliation Syndrome, Diabetic Retinopathy, and positive history of Uveitis, Glaucoma, and Macular Degeneration were excluded. Data analysis was performed by SPSS Version 20.0. RESULTS: Best Corrected Visual Acuity (BCVA) in diabetic patients improved from 0.813 ± 0.181 Log MAR pre operatively to 0.183 ± 0.143 after the period of six months post-operatively. Corresponding results in non-diabetics were 0.66 ± 0.31 and 0.08 ± 0.092 Log Mar (P value = 0.001). If WHO criteria was considered, 87.5% diabetics and 92% non-diabetics achieved normal vision (Log Mar 0 to 0.5; ≥ 6/12,) on the first post-operative day. Remaining 12.5% diabetics and 8% non-diabetics achieved moderate vision (0.6 to 1 Log MAR) on first post-operative day improving to normal vision within a week. CONCLUSION: Visual outcomes in diabetics after phacoemulsification with intra ocular lens implant is almost as good as that in non-diabetic patient if the diabetics have no retinopathy and have good glycemic control.
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spelling pubmed-55101282017-08-15 Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study Shaikh, Abdul Rashid Mirani, Abdul Haleem Memon, Muhammad Saleh Fahim, Muhammad Faisal Pak J Med Sci Original Article OBJECTIVE: To compare the visual outcomes of phacoemulsification surgery with intraocular lens (IOL) in persons with and without diabetes at end of follow-up. METHODS: This was a comparative, cross sectional, observational study with Non-probability, purposive sampling. After approval from “Research Ethical Committee of Isra Post-graduate Institute of Ophthalmology Karachi, 92 patients with cataract in one eye were selected. Patients were divided into two groups. Group A consisted of 48 diabetics and group B consisted of 44 non- diabetics with or without diabetes in the age group ≥ 30 years were included. Patients with small Pupil, Pseudo exfoliation Syndrome, Diabetic Retinopathy, and positive history of Uveitis, Glaucoma, and Macular Degeneration were excluded. Data analysis was performed by SPSS Version 20.0. RESULTS: Best Corrected Visual Acuity (BCVA) in diabetic patients improved from 0.813 ± 0.181 Log MAR pre operatively to 0.183 ± 0.143 after the period of six months post-operatively. Corresponding results in non-diabetics were 0.66 ± 0.31 and 0.08 ± 0.092 Log Mar (P value = 0.001). If WHO criteria was considered, 87.5% diabetics and 92% non-diabetics achieved normal vision (Log Mar 0 to 0.5; ≥ 6/12,) on the first post-operative day. Remaining 12.5% diabetics and 8% non-diabetics achieved moderate vision (0.6 to 1 Log MAR) on first post-operative day improving to normal vision within a week. CONCLUSION: Visual outcomes in diabetics after phacoemulsification with intra ocular lens implant is almost as good as that in non-diabetic patient if the diabetics have no retinopathy and have good glycemic control. Professional Medical Publications 2017 /pmc/articles/PMC5510128/ /pubmed/28811796 http://dx.doi.org/10.12669/pjms.333.12589 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Shaikh, Abdul Rashid
Mirani, Abdul Haleem
Memon, Muhammad Saleh
Fahim, Muhammad Faisal
Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study
title Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study
title_full Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study
title_fullStr Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study
title_full_unstemmed Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study
title_short Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; A comparative study
title_sort visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; a comparative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510128/
https://www.ncbi.nlm.nih.gov/pubmed/28811796
http://dx.doi.org/10.12669/pjms.333.12589
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