ISSN: 1300-0365
Dil: Türkçe
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Anterior Segment Complications In Diabetic Patients Followingextracapsular Cataract Extraction And Posterior Chamberintraocular Lens Implantation
Aysu Karatay Arsan*, Handan Gİray**, Sunay Duman***
* Uz.Dr.SB Ankara Hastanesi Göz Kliniği Başasistanı,** Dr. SB Ankara Hastanesi Göz Kliniği Asistanı,*** Uz.Dr.SB Ankara Hastanesi Göz Kliniği Şefi, ANKARA
In this study, we compared the early postoperative findings in the anterior segment following extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens implantation (PC-IOL) in diabetic patients with those in nondiabetic patients. We have examined 73 operated diabetic eyes and 70 eyes of nondiabetic matched controls who underwent ECCE with PC-IOL implantation over a two-year period. The diabetic group had a greater incidence of postoperative anterior segment complications. The major complications were appearence of fibrin (p<0.05),pigment dispersion (p<0.05), development of posterior synechiae (p<0.05) and desantralization of pupil (p>0.05). Transient iridal vascular congestion in 2 patients and iris neovascularization in an eye were observed. Older patients were found to be at greater risk for development of posterior syneshiae (p<0.005). Pigment dispersion was seen more often in patients with systemic hypertension (p<0.05) and prolonged diabetes (10 years or more). We suggest that diabetic patients who have undergone cataract surgery and PC-IOL implantation be seen at frequent intervals during the first postoperative weeks.Keywords: Diabetes mellitus, extracapsular cataract
extraction, postoperative cataract surgery
complicationsTurkiye Klinikleri J Ophthalmol 1999, 8:99-103
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