- Visibility 66 Views
- Downloads 20 Downloads
- Permissions
- DOI 10.18231/2395-1451.2019.0019
-
CrossMark
- Citation
Optical coherence tomography based analysis of changes in macula in diabetes after phacoemulsification surgery
- Author Details:
-
Rajni Sethia
-
Vivan Desai
-
Aakash Patel
-
Shail Shah
-
Parin Mehta *
Purpose: To assess quantitative changes of the macula after cataract surgery using optical coherence tomography (OCT) in diabetic eyes and to estimate the incidence of development of macular edema (ME) in type II diabetic eyes.
Materials and Methods: In this prospective observational case control study, 100 eyes out of which 50 are of type II diabetic patients and 50 are non-diabetic patients who underwent phacoemulsification surgery with acrylic foldable IOL lens implantation were evaluated at post op day 1, day 7, 1 month and 3 months post operatively. Macular thickness as described in early treatment of diabetic retinopathy study (ETDRS) with OCT was evaluated in 9 zones. 4 patients developed DME at 1 month after surgery and were withdrawn from further analysis.
Result: The mean central foveal thickness of the diabetic group preoperatively was 231.06±38.785µ. The increase in central foveal thickness was statistically significant at 1 month postoperatively (p=0.004). The mean perifoveal thickness changes in the inferior and temporal quadrants was also statistically significant at 1 month postoperatively (p=0.002). However, the overall change in macular thickness was found to be insignificant at 3 months postoperatively. The incidence of diabetic macular edema was found to be 8%.
Conclusion: We found that after uncomplicated phacoemulsification, changes in macular thickness as measured by OCT was without any significance.
Keywords: Cataract, Diabetes, Macular edema, OCT.
References
- Benitah NR, Arroyo JG. Pseudophakic cystoid macular edema. Int Ophthalmol Clin 2010;50(1):139-53.
- Nelson ML, Martidis A. Managing cystoid macular edema after cataract surgery. Curr Opin Ophthalmol 2003;14:39–43.
- Stark WJ Jr, Maumenee AE, Fagadau W. Cystoid macular edema in pseudophakia. Surv Ophthalmol 1984;28Suppl:442–
- Ursell PG, Spalton DJ, Whitcup SM, Nussenblatt RB. Cystoid macular edema after phacoemulsification: relationship to blood-aqueous barrier damage and visual acuity. J Cataract Refract Surg 1999;25:1492–1497.
- Schimel AM, Fisher YL, Flynn HW., Jr Optical coherence tomography in the diagnosis and management of diabetic macular edema: time-domain versus spectral- domain. Ophthalmic Surg Lasers Imaging 2011;42(Suppl. S41-55).
- Baskin DE. Optical coherence tomography in diabetic macular edema. Curr Opin Ophthalmol 2010;21(3):172–177.
- Henderson BA, Kim JY, Ament CS, Ferrufino-Ponce ZK, Grabowska A, Cremers SL. Clinical pseudophakic cystoid macular edema. Risk factors for development and duration after treatment. J Cataract Refract Surg 2007;33(9):1550-
- International Journal of Advances in Medicine Lathika VK. Int J Adv Med 2017;4(2):546-550.
- Pollack A, Dotan S, Oliver M. Course of diabetic retinopathy following cataract surgery. Br J Ophthalmol 1991;75(1):2-8.
- Jaffe GJ, Burton TC, Kuhn E, Prescott A, Hartz A. Progression of nonproliferative diabetic retinopathy and visual outcome after extracapsular cataract extraction and intraocular lens implantation. Am J Ophthalmol 1992;114(4):448-456.
- Benson WE, Brown GC, Tasman W, McNamara JA, Vander JF. Extracapsular cataract extraction with placement of a posterior chamber lens in patients with diabetic retinopathy. Ophthalmol 1993;100(5):730-738.
- Kim SJ, Equi R, Bressler NM. Analysis of macular edema after cataract surgery in patients with diabetes using optical coherence tomography. Ophthalmology. 2007;114(5):881-889.
- Mentes J, Erakgu T, Afrashi F, Kerci G. Incidence of cystoid macular edema after uncomplicated phacoemulsification. Ophthalmol 2003;217(6):408-412.
- Romero-Aroca P, Fernández-Ballart J, Almena-Garcia M, Méndez-Marín I, Salvat-Serra M, Buil-Calvo JA. Nonproliferative diabetic retinopathy and macular edema progression after phacoemulsification: prospective study. J Cataract Refract Surg 2006;32(9):1438-1444.
- von Jagow B, Ohrloff C, Kohnen T. Macular thickness after uneventful cataract surgery determined by optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 2007;245:1765–1771.
- Desai P, Minassian DC, Reidy A. National cataract surgery survey 1997-8: a report of the results of the clinical outcomes. Br J Ophthalmol 1999;83(12):1336–1340.
- Sourdille P, Santiago PY. Optical coherence tomography of macular thickness after cataract surgery. J Cataract Refract Surg 1999;25(2): 256–261.
- Cheng B, Liu Y, Liu X, Ge J, Ling Y, Zheng X. Macular image changes of optical coherence tomography after phacoemulsification. Zhonghua Yan Ke Za Zhi 2002;38(5):265–267.
How to Cite This Article
Vancouver
Sethia R, Desai V, Patel A, Shah S, Mehta P. Optical coherence tomography based analysis of changes in macula in diabetes after phacoemulsification surgery [Internet]. Indian J Clin Exp Ophthalmol. 2019 [cited 2025 Oct 25];5(1):82-86. Available from: https://doi.org/10.18231/2395-1451.2019.0019
APA
Sethia, R., Desai, V., Patel, A., Shah, S., Mehta, P. (2019). Optical coherence tomography based analysis of changes in macula in diabetes after phacoemulsification surgery. Indian J Clin Exp Ophthalmol, 5(1), 82-86. https://doi.org/10.18231/2395-1451.2019.0019
MLA
Sethia, Rajni, Desai, Vivan, Patel, Aakash, Shah, Shail, Mehta, Parin. "Optical coherence tomography based analysis of changes in macula in diabetes after phacoemulsification surgery." Indian J Clin Exp Ophthalmol, vol. 5, no. 1, 2019, pp. 82-86. https://doi.org/10.18231/2395-1451.2019.0019
Chicago
Sethia, R., Desai, V., Patel, A., Shah, S., Mehta, P.. "Optical coherence tomography based analysis of changes in macula in diabetes after phacoemulsification surgery." Indian J Clin Exp Ophthalmol 5, no. 1 (2019): 82-86. https://doi.org/10.18231/2395-1451.2019.0019