ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
The Effect Of Phacoemulsification And Intraocular Lens Implantation On Diabetic Retinopaty Progression
Dr. Nilüfer KOÇAK,a Dr. Gül ARIKAN,a Dr. A. Osman SAATCİ,a Dr. İsmet DURAK,aDr. F. Meltem SÖYLEV BAJİN,a Dr. F. Hakan ÖNER,a Dr. Mehmet H. ER-GİNa
aGöz Hastalıkları AD, Dokuz Eylül Üniversitesi Tıp Fakültesi, İZMİR
Objective: To study the effect of phacoemulsification and posterior chamber intraocular lens implantation on the course of diabetic retinopathy.
Material and Methods: The medical charts of 2447 eyes of 2137 consecutive patients who had uneventful phacoemulsification and posterior chamber intraocular lens implantation between January 2001-February 2004 were retrospectively reviewed. 187 patients (8.75%) had diabetes and 116 of them (62%) had a follow-up longer than six months. 140 eyes of 116 patients comprised our study group. Patients with diabetes were evaluated for visual outcome and retinopathy progression after the surgery. Patients who had a follow-up shorter than six months were excluded.
Results: The mean follow-up was 20.7 months (Range, 6-48 months). Retinopathy progression was observed in 20 of 140 eyes (14.3%) and 17 of those eyes required further laser treatment and one eye underwent pars plana vitrectomy for unresolving vitreous hemorrhage.
Conclusion: Despite improved surgical techniques and advantages of phacoemulsification over previous surgical techniques, diabetic retinopathy may still progress after uneventful phaco surgery and patients may need further laser or vitreoretinal surgery.Keywords: Phacoemulsification, diabetic retinopathy,intraocular lens, pars plana vitrectomyTurkiye Klinikleri J Ophthalmol 2005, 14:117-122
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