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- DOI 10.18231/pjms.v.15.i.2.346-350
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CrossMark
- Citation
To evaluate the visual outcome after phacoemulsification in diabetic patient and non-diabetic patient
- Author Details:
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Pratik Sharma
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Devanshi Mahesh Dalal
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Mahesh Chandra
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Gaurav Dubey *
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Shamit Pal
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Ayush Jha
Background: This study investigates visual outcomes after phacoemulsification in non-diabetic and diabetic patients, highlighting cataract as a complication of diabetes mellitus, which affects 285 million people globally. Cataract is the leading cause of blindness, impacting 18 million people worldwide, particularly in developing countries. In India, diabetes-induced cataracts account for 20% of cases. Despite advancements in phacoemulsification making cataract surgery safer and more predictable with rapid visual recovery, diabetic patients still experience poorer visual prognoses. This is attributed to elevated osmotic stress, oxidative stress, and non-enzymatic glycation of lens proteins.
Materials and Methods: The study involved 398 participants, evenly split into diabetic and non-diabetic groups aged 50 to 80 years. The selection criteria included visual acuity (VA) less than 6/18, well-controlled diabetes, and the absence of retinopathy and macular oedema. Post-operative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA) were recorded at 15-day intervals up to 45 days for all patients. Data were compiled using Microsoft Office 2010 and exported to SPSS version 29.0.01 (IBM SPSS) for analysis.
Results: Indicated that younger patients had significantly better visual outcomes compared to older patients. Although both groups showed substantial improvement after cataract surgery, diabetic patients had poorer postoperative visual outcomes.
Conclusion: Phacoemulsification significantly improves visual outcomes in both diabetic and non-diabetic patients; however, diabetic patients, despite having well-controlled diabetes and no retinopathy or macular oedema, demonstrate comparatively poorer postoperative visual recovery. Younger patients tend to achieve better results, highlighting the influence of age and underlying metabolic factors on surgical prognosis.
References
- Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53.
- Hashemi H. Global and regional prevalence of age-related cataract: a comprehensive systematic review and meta-analysis. Eye. 2020;34(8):1357–70.
- Sowmya CA, Vallabha K. Comparative study of outcome of cataract surgery in diabetic and non-diabetic patients. Indian J Clin Exp Ophthalmol. 2020;6(2):170–5
- Ivancić D, Mandić Z, Barać J, Kopić M. Cataract surgery and postoperative complications in diabetic patients. Coll Antropol. 2005;29(1):55–8.
- Kanski JJ. Systemic diseases. In: Edward R, benson K, editors. Clinical ophthalmology a systemic approach. Butterworth Heinemann Elsevier; 2008:907-9.
- Praveen MR, Vasavada AR, Shah GD, Shah AR, Khamar, BM, Dave KH. A prospective evaluation of posterior capsule opacification in eyes with diabetes mellitus: A case–control study. Eye. 2014;28(6):720-7.
- Dowler JG, Hykin PG, Lightman SL, Hamilton AM. Visual acuity following extracapsular cataract extraction in diabetics: A meta- analysis. Eye. 1995;9(Pt 3):313–7.
- International Council of Ophthalmology: at the 29th International Congress of Ophthalmology Sydney, Australia, 2002 Available at: https//:w ww.icoph.org/ standards. Accessed date: 9th February,
- Hamilton AM, Ulbig MW, Polkinghorne P. Epidemiology of diabetic retinopathy. In Hamilton AM ulbig MW Polkinghpore P, editors. Management of diabetic retinopathy. London BMJ Publication G:1996:1-15
- Zheng L, Merriam JC, Zaider M. Astigmatism and visual recovery after “large incision” extracapsular cataract surgery and “small” incisions for phacoemulsification. Trans Am Ophthalmol Soc. 1997;95:387–410.
- Klein BE, Klein R, Moss SE. Incidence of cataract surgery in the Wisconsin Epidemiologic Study of Diabetic Retinopathy. Am J Ophthalmol. 1995;119(3):295–300.
- Agte VV, Tarwadi KV. Combination of diabetes and cataract worsens the oxidative stress and micronutrient status in Indians. Nutrition. 2008;24(7-8):617–24.
- 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):691–4.
- Cunliffe IA, Flanagan DW, George ND, Aggarwaal RJ, Moore AT. Extracapsular cataract surgery with lens implantation in diabetics with and without proliferative retinopathy. Br J Ophthalmol. 1991;75(1):9–12.
- World Health Organization. [Accessed 7 September 2006]. http://www.who.int/blindness/causes.
How to Cite This Article
Vancouver
Sharma P, Dalal DM, Chandra M, Dubey G, Pal S, Jha A. To evaluate the visual outcome after phacoemulsification in diabetic patient and non-diabetic patient [Internet]. Panacea J Med Sci. 2025 [cited 2025 Oct 27];15(2):346-350. Available from: https://doi.org/10.18231/pjms.v.15.i.2.346-350
APA
Sharma, P., Dalal, D. M., Chandra, M., Dubey, G., Pal, S., Jha, A. (2025). To evaluate the visual outcome after phacoemulsification in diabetic patient and non-diabetic patient. Panacea J Med Sci, 15(2), 346-350. https://doi.org/10.18231/pjms.v.15.i.2.346-350
MLA
Sharma, Pratik, Dalal, Devanshi Mahesh, Chandra, Mahesh, Dubey, Gaurav, Pal, Shamit, Jha, Ayush. "To evaluate the visual outcome after phacoemulsification in diabetic patient and non-diabetic patient." Panacea J Med Sci, vol. 15, no. 2, 2025, pp. 346-350. https://doi.org/10.18231/pjms.v.15.i.2.346-350
Chicago
Sharma, P., Dalal, D. M., Chandra, M., Dubey, G., Pal, S., Jha, A.. "To evaluate the visual outcome after phacoemulsification in diabetic patient and non-diabetic patient." Panacea J Med Sci 15, no. 2 (2025): 346-350. https://doi.org/10.18231/pjms.v.15.i.2.346-350