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Prevention of macular oedema after cataract surgery in patients with diabetes mellitus

https://doi.org/10.14341/DM8729

Abstract

Nowadays, diabetes mellitus is an important public health problem. Together, population growth, prevalence of obesity, and a sedentary lifestyle has led to an increased number of individuals with diabetes mellitus. Globally, cataracts remain the leading cause of blindness and the second cause of visual impairment among patients with diabetes mellitus.


Phacoemulsification with intraocular lens implantation is the standardised surgical technique to treat cataracts. Advances in cataract surgical techniques have significantly decreased the incidence of complications. However, surgery may not be safe, as the risk of complications increases in patients with diabetes mellitus with pre-existing blood–ocular barrier pathology. Cystoid macular oedema is one of the most severe postoperative complications after cataract surgery. It is considered the most important cause of suboptimal visual acuity and strongly affects early recovery.


The optimal pharmacological therapy for prevention of CME following cataract surgery in patients with diabetes mellitus continues to be debated and needs further investigation.

About the Authors

Irina A. Bashina

RUDN University


Russian Federation

MD


Competing Interests:

No conflict of interests



Michael A. Frolov

RUDN University


Russian Federation

MD, PhD, Professor


Competing Interests:

No conflict of interests



Dmitriy V. Lipatov

RUDN University; Endocrinology Research Centre


Russian Federation

MD, PhD, Professor


Competing Interests:

No conflict of interests



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Supplementary files

1. Рис. 1. Кистозный макулярный отек по данным оптической когерентной томографии.
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2. Рис. 2. Кистозный макулярный отек по данным флуоресцентной ангиографии.
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3. Рис. 3. Кистозный макулярный отек по данным флуоресцентной ангиографии.
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Type Исследовательские инструменты
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For citations:


Bashina I.A., Frolov M.A., Lipatov D.V. Prevention of macular oedema after cataract surgery in patients with diabetes mellitus. Diabetes mellitus. 2017;20(5):350-355. (In Russ.) https://doi.org/10.14341/DM8729

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)