Area reduction in the anterior capsule opening in eyes of diabetes mellitus patients.
OBJECTIVE
To compare the extent of area reduction in the anterior capsule opening after continuous curvilinear capsulorhexis in the eyes of diabetes mellitus (DM) patients with that in the eyes of patients without DM.


METHODS
Hayashi Eye Hospital, Fukuoka, Japan.


METHODS
Ninety-one eyes of 91 DM patients and 91 age-matched eyes of patients without DM (control group) having intraocular lens (IOL) implantation were recruited for this prospective study. The DM group comprised 36 eyes with diabetic retinopathy (DR) and 55 without retinopathy (NDR). The anterior capsule opening area was quantitated using Scheimpflug photography 1 week and 1, 3, and 6 months postoperatively.


RESULTS
There was no statistically significant difference in mean anterior capsule opening area between the DM and control groups at 1 week or 1 month postoperatively. The area was significantly smaller in the DM group at 3 (P = .0221) and 6 (P = .0075) months. The percentage area reduction was also greater in the DM group than in the control group. The area in the DR group was significantly smaller than in the control group at 3 (P = .0392) and 6 (P = .0080) months. The percentage reduction in the DR group was larger than in the NDR or control group.


CONCLUSIONS
After IOL implantation, contraction of the anterior capsule opening area was more extensive in eyes of DM patients than in those of patients without DM, especially in the case of DR.
Department of Ophthalmology, School of Medicine, Fukuoka University Hospital, Japan.
H
H
Hayashi
K
K
Hayashi
F
F
Nakao
F
F
Hayashi
D000368:Aged; D019923:Capsulorhexis; D048909:Diabetes Complications; D003930:Diabetic Retinopathy / Q000150:complications; D005260:Female; D005355:Fibrosis; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular; D008297:Male; D010781:Photography; D011183:Postoperative Complications / Q000473:pathology; D011446:Prospective Studies