International Journal of Health and Clinical Research

Yazarlar: Shashwat Singh, Farhat Abrar, V.K Malik

Konular:-

Anahtar Kelimeler:Diabetes,Macular Thickness,Diabetic retinopathy

Özet: Objectives: To evaluate changes in macular thickness after uncomplicated cataract surgery using OCT in diabetic patients. Material and Method: The present prospective observational study was conducted in the department of Ophthalmology at Chattrapati Shivaji Subharti Hospital from December 2019 to June 2020. All patients with Cataract of either gender above 18 years of age were included in the study and were further divided into two groups i.e. group A (Study group) having diabetic patients with cataract and group B (Control group) containing non-diabetic patients with cataract. The surgery involved 2.2 mm corneal incision, capsulorhexis, hydrodissection, and ultimately intraocular lens implantation. On each follow-up visit at 1st week, 3rd week and 2nd month both the groups were evaluated for macular thickness using OCT at 1st week, 3rd week and 2nd month. Any progression or worsening of macular edema in diabetic patients post-operatively was assessed. Also, the correlation of grade of DR with macular thickness was done. Results: Pre-operatively there was no significant difference among group A and B w.r.t. mean foveal thickness as p>0.05. Post-operatively (2 month) mean foveal thickness increased more in group A (study group) as compared to group B (control group) with statistically significant difference. As the staging of DR become severe, MFT also increases with statistically significant difference. Conclusion: Increase in central macular thickness occurs after uncomplicated phacoemulsification either in diabetic or in nondiabetic patients; the range of increased central macular thickness is more in diabetic patients, especially in patients who already have higher central macular thickness or higher grade of DR initially.

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