Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy

Muhammed Tayyab Awan,1,2 Muhammed Anwar Khan,3 Saba Al-Khairy,1,4 Samina Malik1,41Pak Lab and Diagnostic Center, Karachi, Pakistan; 2School of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland, UK; 3Department of Medical Education, King Saud bin Abdul-Aziz University of Health S...

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Autores principales: Awan MT, Khan MA, Al-Khairy S, Malik S
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Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:79299fa8bdbc40839b197ef01e650a092021-12-02T02:43:12ZImprovement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy1177-54671177-5483https://doaj.org/article/79299fa8bdbc40839b197ef01e650a092013-10-01T00:00:00Zhttp://www.dovepress.com/improvement-of-visual-acuity-in-diabetic-and-nondiabetic-patients-afte-a14658https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Muhammed Tayyab Awan,1,2 Muhammed Anwar Khan,3 Saba Al-Khairy,1,4 Samina Malik1,41Pak Lab and Diagnostic Center, Karachi, Pakistan; 2School of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland, UK; 3Department of Medical Education, King Saud bin Abdul-Aziz University of Health Sciences, Riyadh, Saudi Arabia; 4Department of Ophthalmology, Jinnah Post Graduate Medical Center, Karachi, PakistanPurpose: The aim of the study reported here was to compare the improvement of visual acuity (VA) of diabetic and nondiabetic patients after neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy.Methods: In this prospective cohort study, 50 age- and sex-matched patients, comprising 25 nondiabetics and 25 diabetics (referred to as Group A and B, respectively), with posterior chamber poly(methyl methacrylate) non-foldable intraocular lens implants attending our clinic at Karachi for capsulotomy had pre- and postoperative measures of VA, posterior pole visibility, and grading of posterior capsular opacity as seen on slit-lamp examination. VA was recorded before and after performing standard capsulotomy.Results: The postoperative (mean) VA in nondiabetics was 0.25, 0.23, and 0.21 logMAR as compared with 0.25, 0.25, and 0.24 logMAR in diabetics at 1 week, 1 month, and 6 months, respectively. P-values of 0.47, 0.47, and 0.24, respectively, were determined, which were not significant. Preoperative VA improvement was recorded in 92% of diabetics in Group B and 96% of nondiabetics in Group A. Two (8%) diabetic patients developed glaucoma and did not participate in the study further.Conclusion: Remarkable improvement in VA was achieved in both Group A and B, but the Group A nondiabetics showed more improvement in best-corrected VA after Nd:YAG laser capsulotomy.Keywords: diabetes, posterior capsule, capsule opacification, intraocularAwan MTKhan MAAl-Khairy SMalik SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 2011-2017 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Awan MT
Khan MA
Al-Khairy S
Malik S
Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy
description Muhammed Tayyab Awan,1,2 Muhammed Anwar Khan,3 Saba Al-Khairy,1,4 Samina Malik1,41Pak Lab and Diagnostic Center, Karachi, Pakistan; 2School of Biomedical Sciences, University of Ulster, Coleraine, Northern Ireland, UK; 3Department of Medical Education, King Saud bin Abdul-Aziz University of Health Sciences, Riyadh, Saudi Arabia; 4Department of Ophthalmology, Jinnah Post Graduate Medical Center, Karachi, PakistanPurpose: The aim of the study reported here was to compare the improvement of visual acuity (VA) of diabetic and nondiabetic patients after neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy.Methods: In this prospective cohort study, 50 age- and sex-matched patients, comprising 25 nondiabetics and 25 diabetics (referred to as Group A and B, respectively), with posterior chamber poly(methyl methacrylate) non-foldable intraocular lens implants attending our clinic at Karachi for capsulotomy had pre- and postoperative measures of VA, posterior pole visibility, and grading of posterior capsular opacity as seen on slit-lamp examination. VA was recorded before and after performing standard capsulotomy.Results: The postoperative (mean) VA in nondiabetics was 0.25, 0.23, and 0.21 logMAR as compared with 0.25, 0.25, and 0.24 logMAR in diabetics at 1 week, 1 month, and 6 months, respectively. P-values of 0.47, 0.47, and 0.24, respectively, were determined, which were not significant. Preoperative VA improvement was recorded in 92% of diabetics in Group B and 96% of nondiabetics in Group A. Two (8%) diabetic patients developed glaucoma and did not participate in the study further.Conclusion: Remarkable improvement in VA was achieved in both Group A and B, but the Group A nondiabetics showed more improvement in best-corrected VA after Nd:YAG laser capsulotomy.Keywords: diabetes, posterior capsule, capsule opacification, intraocular
format article
author Awan MT
Khan MA
Al-Khairy S
Malik S
author_facet Awan MT
Khan MA
Al-Khairy S
Malik S
author_sort Awan MT
title Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy
title_short Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy
title_full Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy
title_fullStr Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy
title_full_unstemmed Improvement of visual acuity in diabetic and nondiabetic patients after Nd:YAG laser capsulotomy
title_sort improvement of visual acuity in diabetic and nondiabetic patients after nd:yag laser capsulotomy
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/79299fa8bdbc40839b197ef01e650a09
work_keys_str_mv AT awanmt improvementofvisualacuityindiabeticandnondiabeticpatientsafterndyaglasercapsulotomy
AT khanma improvementofvisualacuityindiabeticandnondiabeticpatientsafterndyaglasercapsulotomy
AT alkhairys improvementofvisualacuityindiabeticandnondiabeticpatientsafterndyaglasercapsulotomy
AT maliks improvementofvisualacuityindiabeticandnondiabeticpatientsafterndyaglasercapsulotomy
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