Does diabetic retinopathy increase the incidence of intraoperative complications of phacoemulsification surgery?
OBJECTIVE
To evaluate the rates of intraoperative and early postoperative complications (IEPC) and the duration of phacoemulsification (DOP) in the eyes with and without diabetic retinopathy and the effect of oral and topical nonsteroidal anti-inflammatory agents (NSAIDs) on surgically induced miosis (SIM).


METHODS
Phacoemulsification was applied to 50 eyes with proliferative diabetic retinopathy (PDR), 50 eyes with nonproliferative diabetic retinopathy (NPDR), and 50 eyes with no other ocular findings. NSAIDs were used perioperatively. The parameters evaluated were IEPC, DOP and the effect of NSAIDs on SIM.


RESULTS
The rates of IEPC and the DOP were significantly higher in the PDR group compared with the NPDR and control groups. Diabetes mellitus (DM) type had no significant effect on these parameters. The rate of SIM was higher in the eyes with PDR compared with the eyes with NPDR and the controls despite use of NSAIDs.


CONCLUSIONS
Our results indicates that eyes with PDR are significantly more prone to IEPC, while the type of DM is not a predictor factor. DOP is longer in the eyes with PDR. In spite of NSAID use, SIM is more commonly observed in eyes with PDR.
Akinci
Arsen
A
Ulucanlar Eye Hospital, Ulucanlar Cad, Ankara 06110, Turkey. arsenakinci@yahoo.com
Batman
Cosar
C
Zilelioglu
Orhan
O
D000328:Adult; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002386:Cataract / Q000150:complications*; D003930:Diabetic Retinopathy / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D011379:Prognosis; D012307:Risk Factors; D013997:Time Factors; D014792:Visual Acuity
D000894:Anti-Inflammatory Agents, Non-Steroidal