title: Anterior capsule contraction and flare intensity in the early stages after cataract surgery in eyes with diabetic retinopathy.
abstract: OBJECTIVE
  To evaluate the changes and relationship in the area of the anterior capsule opening (ACO) and anterior inflammation during the early stages after cataract surgery in diabetic patients with or without diabetic retinopathy (DR).
  
  
  METHODS
  Department of Ophthalmology, University of Fukui, Fukui, Japan.
  
  
  METHODS
  Case-control study.
  
  
  METHODS
  This study comprised diabetic patients without DR (non-DR group), diabetic patients with nonproliferative DR (DR group), and patients without diabetes mellitus (DM) (non-DM group) who had cataract surgery. The ACO area and aqueous flare intensity were measured using the EAS-1000 device and a laser flare-cell meter, respectively, 1 day, 1 week, and 1 and 3 months after surgery.
  
  
  RESULTS
  The percentage of anterior capsule contraction (ACC) was significantly higher in the DR group than in the non-DR and non-DM groups 1 week and 1 and 3 months postoperatively (P<.01, Turkey-Kramer test). The aqueous flare intensity was significantly greater in the DR group than in the non-DR and non-DM groups 1 day, 1 week, and 1 and 3 months postoperatively (P<.01). Ordinary least-squares regression analysis showed a significant positive correlation between aqueous flare intensity at 1 week and ACC 3 months after surgery in the non-DR group (P=.0178, R(2) = 0.173) and the DR group (P=.0018, R(2) = 0.308).
  
  
  CONCLUSIONS
  Greater anterior flare levels 1 week after cataract surgery contributed to the extensive postoperative contraction of the ACO in diabetic patients, particularly those with DR.
authors.affiliation: Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui-ken, Japan. takamurayoshihiro@gmail.com
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Takamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tomomatsu
authors.forename: Shogo
authors.initials: S
authors.lastname: Arimura
authors.forename: Yoko
authors.initials: Y
authors.lastname: Tomomatsu
authors.forename: Takehiro
authors.initials: T
authors.lastname: Matsumura
authors.forename: Yuji
authors.initials: Y
authors.lastname: Takihara
authors.forename: Masaru
authors.initials: M
authors.lastname: Inatani
mesh_terms: D000368:Aged; D057866:Anterior Capsule of the Lens / Q000473:pathology*; D016022:Case-Control Studies; D003286:Contracture / Q000175:diagnosis / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications*; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification; D011183:Postoperative Complications; D014606:Uveitis, Anterior / Q000175:diagnosis / Q000209:etiology*