Clinical Results of Phacoemulsification with Scleral Pocket Incision in Diabetic Patients.

Kang, Gu Min; Lee, Jin Hak

Original Article

Journal of the Korean Ophthalmological Society 1996;37(4):584-590.
Published online April 1, 1996.

Clinical Results of Phacoemulsification with Scleral Pocket Incision in Diabetic Patients.

Gu Min Kang, Jin Hak Lee

Department of Ophthalmology, College of Medicine, Hanyang University, Seoul, Korea.

당뇨환자에서 수정체유화술 및 공막낭법에 의한 백내장 수술결과

이진학(Jin Hak Lee),강구민(Gu Min Kang)

Abstract

We compared the visual outcome after phacoemulsification through the scleral pocket incision between non-diabetic patients and diabetic patients, and studied the factors influencing the visual outcome and postoperative complications in diabetic patients. retrospectively. The subjects operated by one of the authors were composed of 277 non-diabetic patients (277 eyes) and 90 diabetic patients (113 eyes). An average of the best corrected visual acuities at postoperative 8 weeks was lower in diabetic patients than that in non-diabetic patients, but there was no statistically significant difference between diabetic patients who had no or background diabetic retinopathy and non-diabetic patients. In diabetic patients the visual outcome was significantly related with severity of diabetic retinopathy, duration of the diabetes, and insulin dependency, but not related with the rupture of posterior capsule during surgery. Among the complications there were posterior capsule rupture (10.6%), hyphema (7.8%), posterior capsular opacity (4.9%), and posterior synechiae (4.9%).

Key Words: Diabetes;Diabetic retinopathy;Phacoemulsification;Scleral pocket incision