AbstractPurpose: To evaluate the postoperative outcome, cause of poor visual outcome and complication following cataract surgery in diabetic patients.
Methods: It is a comparative study conducted on 100 diabetic patients & 100 non diabetic patients undergoing planned manual SICS attending Ophthalmology Dept. in NMCH & RC, Raichur during Nov 2010-Apr 2012. Detailed clinical history and ocular examination was done. These patients were followed up post surgery on day 1, 1st, 3rd, 6th week, 3rd & 6th month.
Results: Post operatively corneal edema was found in 21% of the diabetic & in 12% of non diabetic patients. Preoperatively 4% of patients had mild NPDR & 8% had moderate NPDR. At the end of 6 month, progression of retinopathy was seen in 6% of the patients. CME was seen in 2% of the patients & CSME occurred in 2% of the patients, P.C.O was observed in 24% of diabetic and 14% of non diabetic patients post operatively. Post operative visual acuity improved in both group, no statistically significant difference was obtained in visual acuity outcome in both the group at the end of 6 month follow up, with p=0.28 (>0.05).
Conclusion: To conclude diabetic patients with cataract have an overall good visual out come.
With adequate blood sugar control, careful preoperative planning, a traumatic surgical techniques, appropriate postoperative medicines & close postoperative supervision, diabetic patients can achieve excellent vision after cataract surgery just like our other cataract patients.
Keywords: Diabetes Mellitus; Cataract; Post Operative Complication; Visual Acuity.