Clinical Study of Cataract Surgery in Diabetics.

Joo, Dong Won; Jeong, Sang Ki; Park, Byung II

Original Article

Journal of the Korean Ophthalmological Society 1992;33(3):216-222.
Published online March 1, 1992.

Clinical Study of Cataract Surgery in Diabetics.

Dong Won Joo, Sang Ki Jeong, Byung II Park

Department of Ophthalmology, College of Medicine, Chonnom University, Korea.

당뇨병 환자의 백내장 수술에 대한 임상적 고찰

주동원(Dong Won Joo),정상기(Sang Ki Jeong),박병일(Byung Il Park)

Abstract

We have retrospectively studied 118 eyes of 91 diabetic patients which underwent cataract surgery and followed up at least 3 months and the postoperative corrected visual acuity compared according to the degree of retinopathy, duration of diabetics and age of the patients The results were as follows: 1. Age distribution of the diabetic patients were 17-85 years old and 6th decade was most frequent group and the percentage of male patients were 64.8% and 82.4% of total patients were over 50 years of age. 2. The postoperative corrected visual acuity above 20/40 according to patient age was 100% in the 3rd decade and 1st decade, 87.5% in the 4th decade, 73.5% in the 5th decade, 80.9% in the 6th decade and 42.8% in the 2nd decade. The postoperative visual acuity was generally better in younger patients. 3. The postoperative corrected visual acutiy above 20/40 according to degree of diabetics was 94.2% in Non Diabetic Retinopathy, 78.5% in Background Diabetic Retinopathy, 11.1% in Proliferative Diabetic Retinophthy. The postoperative corrected visual acuity was worse in severe retinopthy group. 4. The postoperative corrected visual acuity above 20/40 according to duration of diabetics was 94.2% in under 5 years, 83.9% in 10 < -15 years, 56.1% in above 15 years and the result was better in short diabetic duraction group.

Key Words: Cataract;Diabetics;Retinopathy;Duration of diabetics;Patient age