Posterior capsule opacification following diabetic extracapsular cataract extraction.
Review was performed of extracapsular cataract extraction with posterior chamber lens implantation in 90 diabetic patients and 263 non-diabetic patients. There was a higher incidence of posterior capsular opacification as judged by the requirement for Nd:YAG posterior capsulotomy in patients with non-proliferative (12/35, 34%) or quiescent proliferative diabetic retinopathy (8/18, 44%) than in non-diabetic patients (48/263, 18%) (Mantel-Haenszel p = 0.04). Although subgroup analysis showed a higher incidence of posterior capsule opacification in diabetics with non-proliferative or quiescent proliferative retinopathy than in diabetics without retinopathy, this was not statistically significant (Mantel-Haenszel p = 0.19 and p = 0.07, respectively). Following cataract surgery in diabetics with retinopathy, frequent review and prompt management of posterior capsular opacification is recommended, to maintain adequate fundus visualisation at a time when deterioration of retinopathy is likely.
Moorfields Eye Hospital, London, UK.
A
A
Ionides
J G
JG
Dowler
P G
PG
Hykin
P H
PH
Rosen
A M
AM
Hamilton
D000368:Aged; D002386:Cataract / Q000150:complications / Q000209:etiology*; D002387:Cataract Extraction; D003930:Diabetic Retinopathy / Q000150:complications*; D006801:Humans; D007903:Lens Capsule, Crystalline; D007910:Lenses, Intraocular; D011183:Postoperative Complications; D012189:Retrospective Studies; D013997:Time Factors