title: Corneal edema after phacoemulsification surgery in patients with type II diabetes mellitus.
abstract: BACKGROUND
  Corneal edema delays early visual recovery after phacoemulsification surgery in diabetes mellitus.
  
  
  OBJECTIVE
  To compare corneal edema of eyes in patients with type II diabetes mellitus and in non-diabetics after phacoemusification surgery.
  
  
  METHODS
  A hospital-based, retrospective study involving 96 eyes that underwent phacoemulsification surgery for immature cataract at the Department of Ophthalmology, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal was carried out. Evaluation was performed of 33 eyes in patients with diabetes mellitus (diabetic group) and of 63 eyes in patients without diabetes mellitus (non-diabetic group). All diabetic patients had controlled blood glucose for at least one week prior to the surgery. The operated eye was examined before surgery and on one day, one week, and one month after surgery. Intraocular pressure was measured on each visit.
  
  
  METHODS
  The findings of post-operative corneal edema and visual acuity between the diabetic and non-diabetic groups were studied and compared.
  
  
  RESULTS
  There was no difference clinically in any pre-operative corneal examination between the diabetic and non-diabetic groups. The corneal edema after surgery was significantly higher in the diabetic group than in the non-diabetic group (p less than 0.001). The number of patients with corneal edema one day and one week after surgery was significantly higher in the diabetic group than in the non-diabetic group (after 1 day, OR = 62.5; 95 % CI = 15.31 - 255.11, p less than 0.000) and after 1 week, OR = 6.77; 95 % CI = 1.28 - 35.76, p less than 0.006).
  
  
  CONCLUSIONS
  Corneal edema following phacoemusification surgery in diabetic eyes is likely to be more frequent than in non-diabetic eyes.
authors.forename: K
authors.initials: K
authors.lastname: Shakya
authors.forename: S
authors.initials: S
authors.lastname: Pokharel
authors.forename: K J D
authors.initials: KJ
authors.lastname: Karki
authors.forename: C
authors.initials: C
authors.lastname: Pradhananga
authors.forename: R P
authors.initials: RP
authors.lastname: Pokharel
authors.forename: O K
authors.initials: OK
authors.lastname: Malla
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000209:etiology*; D015715:Corneal Edema / Q000175:diagnosis* / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003930:Diabetic Retinopathy / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D012189:Retrospective Studies; D014065:Tonometry, Ocular; D014792:Visual Acuity