Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Krepler, K; Biowski, R; Schrey, S; Jandrasits, K; Wedrich, A.
Cataract surgery in patients with diabetic retinopathy: visual outcome, progression of diabetic retinopathy, and incidence of diabetic macular oedema.
GRAEF ARCH CLIN EXP OPHTHAL 2002 240: 735-738.
Doi: 10.1007/s00417-002-0530-7
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Wedrich Andreas
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- Abstract:
- BACKGROUND: Compared to non-diabetic patients, outcome after cataract surgery was reported to be worse in diabetic patients--especially in those with diabetic retinopathy. This prospective study was planned to evaluate visual outcome, progression of diabetic retinopathy, and incidence of clinically significant macular oedema (CSME) in a homogenous group of patients with non-proliferative diabetic retinopathy (NPDR) without CSME at baseline 1 year after cataract surgery. METHODS: Over a period of 18 months, all consecutive patients with mild-to-moderate diabetic retinopathy who had cataract surgery with phacoemulsification and posterior chamber lens implantation were prospectively followed up. Outcomes were assessed 1 year postoperatively and included visual acuity (VA), progression of retinopathy, and incidence of CSME. Progression of retinopathy and incidence of CSME were compared to the non-operated fellow eyes. RESULTS: Of 50 patients included, 42 completed the 1-year follow-up. VA improved in 85% of patients, and was better than 0,5 in 71%. Progression of retinopathy occurred in 12% of eyes after cataract surgery and in 10.8% of non-operated fellow eyes. No patient developed proliferative diabetic retinopathy in the operated eye. CSME occurred in 13 operated eyes (31%), five of them with retinal ischemia, and in five non-operated eyes (13.5%). Patients with ischemic macular oedema had the worst prognosis regarding VA. CONCLUSION: Modern cataract surgery seems to have no influence on the progression of diabetic retinopathy. A visual improvement is achieved in the majority of patients with NPDR, but poorer visual outcome is observed in patients developing macular oedema.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Cataract - complications
- Diabetes Mellitus, Type 2 - complications
- Diabetic Retinopathy - complications
- Disease Progression - complications
- Female - complications
- Humans - complications
- Incidence - complications
- Lens Implantation, Intraocular - complications
- Macular Edema, Cystoid - etiology
- Male - etiology
- Phacoemulsification - etiology
- Prospective Studies - etiology
- Visual Acuity - physiology