JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (6): 72-76.doi: 10.6040/j.issn.1673-3770.0.2014.114

Previous Articles     Next Articles

Changes of macular thickness under optical coherent tomography in type 2 diabetic patients with cataract after phacoemulsification surgery and IOL implantation

SUN Hong-yi, ZHANG Han   

  1. Department of Ophthalmology, Second Hospital of Shandong University, Jinan 250033, Shandong, China
  • Received:2014-04-12 Published:2014-12-16

PDF (PC)

435

Abstract: Objective To investigate the effects of phacoemulsification surgery and IOL implantation on the macular area in type 2 diabetic patients with cataract. Methods 84 type 2 diabetic patients with cataract underwent single-eye phacoemulsification operation were enrolled into the study. OCT (Optical coherent tomography) were performed before the operations, and 1 day, 7 days, 30 days after the operations in all 168 eyes. The 84 operated eyes were assigned to the study group, while the other 84 eyes were assigned to the control group. The FRT(foveal retina thickness) (at 1 mm) and PMV (perimacular volume) (at 6 mm) of the two groups were analyzed with SPSS 19.0. Results FRT: There was no significant difference between the two groups before the surgery(P>0.05), as well as 1day after the surgery (study group 258.06±23.34 μm, control group 259.88±21.01 μm; P>0.05). However, significant differences were noted at 7 days (study group 270.94±20.26 μm, control group 260.54±20.88 μm) and 30 days(study group 275.46±25.38 μm, control group 260.68±22.95 μm; both P<0.05) after the surgery. Similar changes also happened in PMV data: before and 1 day after the surgery(P<0.05), at 7 days (study group 8.68±0.68 mm3, control group 8.32±0.62 mm3; P<0.05), and 30 days (study group 9.46±0.73 mm3, control group 8.34±0.58 mm3; P<0.05). Macular edema occurred or aggravated in 15 eyes of the study group and 2 eyes of the control group. Conclusion There are more chances of macular edema or aggravation after phacoemulsification surgery and IOL implantation than without for type 2 diabetic patients.

Key words: Cataract surgery, Phacoemulsification, Optical coherent tomography, Diabetes mellitus, Macular edema

CLC Number: 

  • R776.1
[1] Wright P L, Wilkinson C P, Balyeat H D, et al. Angiographic cystoid macular edema after posterior chamber lens implantation[J]. Arch Ophthamol, 1988, 106(6):740-744.
[2] Kim S J, Equi R, Bressler N M. Analysis of macular edema after cataract surgery in patients with diabetes using optical coherence tomography[J]. Ophthamology, 2007, 114(5):881-889.
[3] Virgili G, Menchini F, Murro V, et al. Optical coherence tomography for detection of macular oedema in patients with diabetic retinopathy[J]. Cochrane Database Syst Rev, 2011, 6(7):CD008081.
[4] 王晋瑛,高媛.糖尿病性白内障与老年性白内障行超声乳化术后视力分析[J]. 国际眼科杂志,2010,10(10):2014-2015. WANG Jinying, GAO Yuan. Visual analysis of phacoemulsification for diabetic cataract and senile cataract[J]. Inter J Ophthalmol, 2010, 10(10):2014-2015.
[5] 程冰,刘杏,刘奕志,等.糖尿病患者超声乳化白内障吸出术后黄斑改变的光学相干断层扫描[J]. 中华眼底病杂志,2001,17(3):175-177. CHENG Bing, LIU Xing, LIU Yizhi, et al. Phacoemulsification cataract extraction in patients with postoperative diabetic macular changes of optical coherence tomography[J]. Chin J Ocular Fundus Dis, 2001, 17(3):175-177.
[6] Tu Y, Xu L, Wei W B, et al. Progression of diabetic retinopathy: the Beijing Eye Study[J]. Chin Med J (Engl), 2011, 124(22):3635-3640.
[7] 孙倩,廖东海,邹浴宇,等.糖尿病患者白内障术后黄斑区视网膜厚度和血-房水屏障改变[J]. 眼科新进展,2006,26(8):599-601. SUN Qian, LIAO Donghai, ZOU Yuyu, et al. Macular thickness change and blood- aqueous barrier disorders after cataract surgery in diabetic patients[J]. Recent Adv Ophthalmol, 2006, 26(8):599-601.
[8] Huang D, Swanson E A, Lin C P, et al. Optical Coherence tomography[J]. Science, 1991, 22(5035):1178-1181.
[9] Hee M R, Izatt J A, Swanson E A, et al. Optical coherene tomography of the human retina[J]. Arch-Ophthamol, 1995, 113(3):325-332.
[10] Shimura M, Nakazawa T, Yasuda K, et al. Diclofenac prevents an early event of macular thickening after cataract surgery in patients with diabetes[J]. J Ocul Pharmacol Ther, 2007, 23(3):284-291.
[11] Pearson P A, Comstock T L, Ip M, et al. Fluocinolone acetonide intravitreal implant for diabetic macular edema: a 3-year multicenter, randomized, controlled clinical trial[J]. Ophthalmology, 2011, 118(8):1580-1587.
[12] Kensaku M, Kanjuro M, Shiroaki S, et al. Comparison of diclofenac and fluorometholone in preventing cystoid macular edema afer small incision cataract surgery[J]. Jpn J Ophthamol, 2000, 44(1):58-67.
[13] Maia O O Jr, Takahashi B S, Costa R A, et al. Combined laser and intravitreal triamcinolone for proliferative diabetic retinopathy and macular edema one-year results of a randomized clinical trial[J]. Am J Ophthalmol, 2009, 147(2):291-297.
[14] 高雯,廖荣丰.非甾体类抗炎药对白内障术后黄斑水肿的作用[J]. 安徽医科大学学报,2013,48(1):38-42. GAO Wen, LIAO Rongfeng. Non-steroidal anti-inflammatory drugs for the prevention of macular edema after cataract surgery[J]. Acta Anhui Med University, 2013, 48(1):38-42.
[1] LI Houxiu, LIU Zhonghua, CHEN Zhi. Risk factors for rupture of the capsule membrane during phacoemulsification cataract surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 88-90.
[2] GAO Xue, HAO Linlin, LIU Shaohua, ZHANG Han. Comparison of two intraocular lens measurement formulas for prediction of postoperative refraction accuracy in patients with angle closure glaucoma and cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 68-71.
[3] ZHANG Ying, CHEN Hongmei, WU Xinyi.. Delayed corneal wound healing is related to impaired IGF-1 expression in diabetic rats. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 74-78.
[4] ZHENG Wanqiu, WAN Wenjuan, LI Can. Application of anterior chamber maintainer in posterior capsular rupture in cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 9-12.
[5] BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 1-4.
[6] WENG Biyan, LIU Can. Impact of scleral tunnel incision and clear corneal incision on the tear film of patients with cataract after phacoemulsification. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(4): 80-83.
[7] . Clinical observation on the treatment of CSME and NCSME by intravitreal injection of ranibizumab. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 96-98.
[8] . Clinical observation on the treatment of BRVO-ME by the combination of laser therapy with Ranibizumab intravitreal injection. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 110-113.
[9] . The pathogenesis of RVO and anti-VEGF treatment for its macular edema. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 123-126.
[10] YAN Xiaoteng, FENG Jun, KANG Xinle. Intravitreal injection of conbercept for macular edema secondary to retinal vein occlusion. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(4): 105-108.
[11] DENG Zhifeng. The clinical study on the improved phacoemulsification. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 85-88.
[12] SHAO Na, ZHANG Han. Variation of visual acuity and fundus in type 2 diabetic patients after phacoemulsification surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 83-87.
[13] XING Kai, KANG Zefeng. Clinical analysis on intravitreal injection of conbercept in the treatment of macular edema secondary to branch retinal vein occlusion. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 80-82.
[14] WANG Luping, WU Xinyi. Effect of glycosylated hemoglobin on dry eye in patients with type 2 diabetes mellitus [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 71-73.
[15] LIU Zhao, WU Changrui, GAO Ning. Evaluation of meibomian gland dysfunction after phacoemulsification surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 68-70.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd