Menoufia Medical Journal

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 31  |  Issue : 1  |  Page : 289--292

Evaluation of macular changes after uncomplicated phacoemulsification surgery in diabetic patients using optical coherence tomography


Abd El-Khalik I. El-Saadani1, Sameh S Mandour1, Maged F Laymouna2 
1 Department of Ophthalmology, Faculty of Medicine, Menoufia University, Al Minufiyah, Egypt
2 Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Maged F Laymouna
Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo
Egypt

Objective The aim of this study was to evaluate�the subclinical influence of uncomplicated cataract surgery on foveal thickness and volume in the early postoperative period in diabetic and nondiabetic patients. Background Diabetic patients pose a particular challenge because of the tendency for early formation of cataract in them and propensity to develop macular edema after cataract surgery. Patients and methods A prospective nonrandomized study was carried out on 50 eyes of 43�patients, which were divided into two groups. Group�1 included 25 eyes of diabetic patients and group�2 included 25 eyes of nondiabetic patients. Optical coherence tomography was performed to measure initial and 1-month postoperative mean foveal thickness�(MFT). Exclusion criteria were as follows: dense cataract that did not permit the measurement of the central macular thickness, proliferative diabetic retinopathy�(DR), chronic uveitis, and any posterior segment pathologies other than nonproliferative DR. Results MFT increased significantly in both groups. In group�1 it increased initially from 254.88�±�32.53 to 310.52�±�64.74 at 1�month postoperatively�(P�=�0.001). In group�2 it increased initially from 228.28�±�18.65 to 269.16�±�23.59 at 1�month postoperatively�(P�=�0.001). There was no difference in initial logarithm of minimal angle of resolution visual acuity between the two groups: in group�1 it was 0.80�±�0.05�and�in group�2 it was 0.80�±�0.06�(P�=�0.801). Postoperative logarithm of minimal angle of resolution visual acuity was significantly different: in group�1 it was 0.43�±�0.23 and in group�2 it was 0.25�±�0.11�(P�=�0.001). Conclusion Increase in MFT occurred after uncomplicated phacoemulsification in diabetic and nondiabetic eyes; the range of increased MFT was more in diabetic patients with higher initial MFT or higher grade of DR preoperatively.


How to cite this article:
El-Saadani AKI, Mandour SS, Laymouna MF. Evaluation of macular changes after uncomplicated phacoemulsification surgery in diabetic patients using optical coherence tomography.Menoufia Med J 2018;31:289-292


How to cite this URL:
El-Saadani AKI, Mandour SS, Laymouna MF. Evaluation of macular changes after uncomplicated phacoemulsification surgery in diabetic patients using optical coherence tomography. Menoufia Med J [serial online] 2018 [cited 2024 Mar 29 ];31:289-292
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=1;spage=289;epage=292;aulast=El-Saadani;type=0