Abstract
Five patients with mild to moderate retinopathy to both eyes underwent complication-free cataract surgery in one eye. Within three months of surgery deterioration of the retinopathy was observed in the operated eye only. In four patients there was an increase of intraretinal haemorrhages and hard exudates, accompanied by clinically significant macular oedema manifested as retinal thickening and extensive fluorescein leakage from both the macular and the peripapillary capillary networks. Of these four patients one also developed retinal ischaemia, evident ophthalmoscopically by flame-shaped haemorrhages and cotton-wool spots and angiographically by areas of capillary non-perfusion. The fifth patient showed proliferation of new blood vessels and vitreous haemorrhage. Diabetic patients scheduled for cataract surgery should undergo a thorough preoperative evaluation of any existing retinopathy. Postoperatively they should be followed up at close intervals so that any progression of retinopathy can be promptly detected and considered for laser treatment.
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Selected References
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- Alpar J. J. Cataract extraction and diabetic retinopathy. J Am Intraocul Implant Soc. 1984 Fall;10(4):433–437. doi: 10.1016/s0146-2776(84)80042-7. [DOI] [PubMed] [Google Scholar]
- Alpar J. J. Diabetes: cataract extraction and intraocular lenses. J Cataract Refract Surg. 1987 Jan;13(1):43–46. doi: 10.1016/s0886-3350(87)80009-3. [DOI] [PubMed] [Google Scholar]
- Apple D. J., Mamalis N., Loftfield K., Googe J. M., Novak L. C., Kavka-Van Norman D., Brady S. E., Olson R. J. Complications of intraocular lenses. A historical and histopathological review. Surv Ophthalmol. 1984 Jul-Aug;29(1):1–54. doi: 10.1016/0039-6257(84)90113-9. [DOI] [PubMed] [Google Scholar]
- Caird F. I., Hutchinson M., Pirie A. Cataract extraction and diabetes. Br J Ophthalmol. 1965 Sep;49(9):466–471. doi: 10.1136/bjo.49.9.466. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Clayman H. M., Jaffe N. S., Light D. S. Lens implantation and diabetes mellitus. Am J Ophthalmol. 1979 Dec;88(6):990–992. doi: 10.1016/0002-9394(79)90403-3. [DOI] [PubMed] [Google Scholar]
- Glaser B. M., Campochiaro P. A., Davis J. L., Jr, Sato M. Retinal pigment epithelial cells release an inhibitor of neovascularization. Arch Ophthalmol. 1985 Dec;103(12):1870–1875. doi: 10.1001/archopht.1985.01050120104029. [DOI] [PubMed] [Google Scholar]
- Jaffe G. J., Burton T. C. Progression of nonproliferative diabetic retinopathy following cataract extraction. Arch Ophthalmol. 1988 Jun;106(6):745–749. doi: 10.1001/archopht.1988.01060130815029. [DOI] [PubMed] [Google Scholar]
- KIRMANI T. H. PROGNOSIS OF CATARACT EXTRACTION IN DIABETICS. Am J Ophthalmol. 1964 Apr;57:617–619. doi: 10.1016/0002-9394(64)92507-3. [DOI] [PubMed] [Google Scholar]
- Milch F. A., Yannuzzi L. A. Medical and surgical treatment of aphakic cystoid macular edema. Int Ophthalmol Clin. 1987 Fall;27(3):205–217. doi: 10.1097/00004397-198702730-00009. [DOI] [PubMed] [Google Scholar]
- Poliner L. S., Christianson D. J., Escoffery R. F., Kolker A. E., Gordon M. E. Neovascular glaucoma after intracapsular and extracapsular cataract extraction in diabetic patients. Am J Ophthalmol. 1985 Nov 15;100(5):637–643. doi: 10.1016/0002-9394(85)90617-8. [DOI] [PubMed] [Google Scholar]
- Straatsma B. R., Pettit T. H., Wheeler N., Miyamasu W. Diabetes mellitus and intraocular lens implantation. Ophthalmology. 1983 Apr;90(4):336–343. doi: 10.1016/s0161-6420(83)34550-4. [DOI] [PubMed] [Google Scholar]
- Williams G. A., Eisenstein R., Schumacher B., Hsiao K. C., Grant D. Inhibitor of vascular endothelial cell growth in the lens. Am J Ophthalmol. 1984 Mar;97(3):366–371. doi: 10.1016/0002-9394(84)90637-8. [DOI] [PubMed] [Google Scholar]