Original Research Article
Year: 2020 | Month: January-March | Volume: 5 | Issue: 1 | Pages: 58-65
Visual Outcomes after Phacoemulsification with Lens Implant in Diabetic vs Non-diabetic Patients: A Prospective Comparative Study
M D Pawar, Nikhilesh Wairagade, Amrita Chaudhari
Mahatme Eye Bank Eye Hospital, run by SMM eye Welfare Charitable Trust, Nagpur.
Corresponding Author: Nikhilesh Wairagade
ABSTRACT
Background and Objective- More than 285 million people are affected worldwide by diabetes mellitus. According to the International Diabetes Federation, number is expected to increase to 439 million by 2030. Here, the aim of this study was to assess visual outcome of cataract surgery using phacoemulsification with intra ocular lens implant in diabetic patients with cataract as compared to non-diabetic patients with cataract.
Methodology- A prospective study conducted on 232 patients between January 2018 to May 2018. 116 consecutive diabetic patients with cataract and 116 non-diabetic patients with cataract and undergoing phacoemulsification cataract surgery were enrolled in this study after taking informed consent. Statistical analysis was performed using JASP (Version 0.8.6) and Microsoft Excel 2013.
Result- The mean age was 63.04 ± 8.11 in non-diabetic group and 63.64 ± 6.27 in diabetic group. Non-diabetic group had 48.28% males (56 males) and 51.72% females (60 females), whereas the diabetic group had 49.14% males (57 males) and 50.86% females (59 females). The overall mean duration of diabetes was seen to be 8.3±5.1 years. The diabetic patients were found to be significantly associated with hypertension (P = <.001) and IHD (P = 0.04). At postoperative 6 weeks mean BCVA was 0.07 ±0.1 in Non-Diabetics and 0.11 ± 0.13 in diabetics while difference in BCVA was statistically significant (p = 0.04).
Keywords: Phacoemulsification, Lens implant, Visual outcomes, Diabetics, Non-diabetics, diabetic retinopathy (DR).