Optimization of surgical treatment of cataract in patients with diabetes mellitus

Aim. To compare different methods for surgical treatment of cataract in patients with diabetes melli-tus (DM) and substantiate the choice of its optimalmodality. Materials and methods. Analysis included data on 209 patients (221 eyes) treated from January 2008 to December 2009 in the Department of...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Dmitriy Valentinovich Lipatov, Timofey Alexandrovich Chistyakov, Anatoliy Gennad'evich Kuz'min
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2010
Materias:	cataract diabetes mellitus ultrasound and hydromonitoring phacoemulsification Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/d49fee7ebc1e46b9b28f3bc327531142
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:d49fee7ebc1e46b9b28f3bc327531142
record_format	dspace
spelling	oai:doaj.org-article:d49fee7ebc1e46b9b28f3bc3275311422021-11-14T09:00:14ZOptimization of surgical treatment of cataract in patients with diabetes mellitus2072-03512072-037810.14341/2072-0351-5681https://doaj.org/article/d49fee7ebc1e46b9b28f3bc3275311422010-06-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/5681https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To compare different methods for surgical treatment of cataract in patients with diabetes melli-tus (DM) and substantiate the choice of its optimalmodality. Materials and methods. Analysis included data on 209 patients (221 eyes) treated from January 2008 to December 2009 in the Department ofRetinopathy and Ophthalmosurgey, Endocrinological Research Centre. Diabetic cataract was managed using UNIVERSAL-II, LEGACY EVEREST,and INFINITI phacoemulsifiers. Parameters studied included time of ultrasound (US) ex-posure, US power, and retinal characteristics in the earlypostoperative period. In addition, analysis included data on the location of lens opacity in 1047 patients (1897 eyes) with diabetic cataract. Results. Relatively low corrected and uncorrected visual acuity in the early postoperative period was attributable to concomitant DM-related retinalpathology. Analysis of lenticular opacity showed that it in the first place affected collagen fibers beneath the posterior capsule. The use of torsional USin INFINITI for cataract phacoemulsification produced almost 4-fold reduction in the exposure time of ocular tissues. As a result, the postoperativeoedema was significantly smaller than in patients undergoing combined treatment (AQUALASE hydromonitoring and OZIL ultrasound system). Conclusion. Combination of ultrasound and hydromonitoring phacoemulsification for the treatment of cataract in DM patients reduces exposure timeof ocular tissues and postoperative oedema which creates prerequisites for faster recovery of visual acuity after surgery. Functional results of surgicaltreatment of diabetic cataract can be further improved by early diagnosis of lens opacity and the use of US and hydromonitoring phacoemulsificationtechniques.Dmitriy Valentinovich LipatovTimofey Alexandrovich ChistyakovAnatoliy Gennad'evich Kuz'minEndocrinology Research Centrearticlecataractdiabetes mellitusultrasound and hydromonitoring phacoemulsificationNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 13, Iss 2, Pp 91-93 (2010)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	cataract diabetes mellitus ultrasound and hydromonitoring phacoemulsification Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	cataract diabetes mellitus ultrasound and hydromonitoring phacoemulsification Nutritional diseases. Deficiency diseases RC620-627 Dmitriy Valentinovich Lipatov Timofey Alexandrovich Chistyakov Anatoliy Gennad'evich Kuz'min Optimization of surgical treatment of cataract in patients with diabetes mellitus
description	Aim. To compare different methods for surgical treatment of cataract in patients with diabetes melli-tus (DM) and substantiate the choice of its optimalmodality. Materials and methods. Analysis included data on 209 patients (221 eyes) treated from January 2008 to December 2009 in the Department ofRetinopathy and Ophthalmosurgey, Endocrinological Research Centre. Diabetic cataract was managed using UNIVERSAL-II, LEGACY EVEREST,and INFINITI phacoemulsifiers. Parameters studied included time of ultrasound (US) ex-posure, US power, and retinal characteristics in the earlypostoperative period. In addition, analysis included data on the location of lens opacity in 1047 patients (1897 eyes) with diabetic cataract. Results. Relatively low corrected and uncorrected visual acuity in the early postoperative period was attributable to concomitant DM-related retinalpathology. Analysis of lenticular opacity showed that it in the first place affected collagen fibers beneath the posterior capsule. The use of torsional USin INFINITI for cataract phacoemulsification produced almost 4-fold reduction in the exposure time of ocular tissues. As a result, the postoperativeoedema was significantly smaller than in patients undergoing combined treatment (AQUALASE hydromonitoring and OZIL ultrasound system). Conclusion. Combination of ultrasound and hydromonitoring phacoemulsification for the treatment of cataract in DM patients reduces exposure timeof ocular tissues and postoperative oedema which creates prerequisites for faster recovery of visual acuity after surgery. Functional results of surgicaltreatment of diabetic cataract can be further improved by early diagnosis of lens opacity and the use of US and hydromonitoring phacoemulsificationtechniques.
format	article
author	Dmitriy Valentinovich Lipatov Timofey Alexandrovich Chistyakov Anatoliy Gennad'evich Kuz'min
author_facet	Dmitriy Valentinovich Lipatov Timofey Alexandrovich Chistyakov Anatoliy Gennad'evich Kuz'min
author_sort	Dmitriy Valentinovich Lipatov
title	Optimization of surgical treatment of cataract in patients with diabetes mellitus
title_short	Optimization of surgical treatment of cataract in patients with diabetes mellitus
title_full	Optimization of surgical treatment of cataract in patients with diabetes mellitus
title_fullStr	Optimization of surgical treatment of cataract in patients with diabetes mellitus
title_full_unstemmed	Optimization of surgical treatment of cataract in patients with diabetes mellitus
title_sort	optimization of surgical treatment of cataract in patients with diabetes mellitus
publisher	Endocrinology Research Centre
publishDate	2010
url	https://doaj.org/article/d49fee7ebc1e46b9b28f3bc327531142
work_keys_str_mv	AT dmitriyvalentinovichlipatov optimizationofsurgicaltreatmentofcataractinpatientswithdiabetesmellitus AT timofeyalexandrovichchistyakov optimizationofsurgicaltreatmentofcataractinpatientswithdiabetesmellitus AT anatoliygennadevichkuzmin optimizationofsurgicaltreatmentofcataractinpatientswithdiabetesmellitus
_version_	1718429682350686208

Optimization of surgical treatment of cataract in patients with diabetes mellitus

Ejemplares similares