Abstract
Comparison in Macular Thickness between Non diabetic and Uncomplicated Diabetics after Uncomplicated Phacoemulsification
Highlights
Phacoemulsification is one of the most widely used cataract surgery techniques nowadays
This study was conducted on 100 eyes of 100 cataracts patients who underwent uneventful phacoemulsification and posterior chamber intraocular lens (IOL) implantation
All previous studies regarding central macular thickness recorded statistically significant increase in the central macular thickness postoperatively which is compatible with our study results that noticed a statistically significant increase in the central macular thickness 1day, 1 week & 1 month postoperatively there was no statistically significant difference in the central macular thickness between the Diabetic and Non-diabetic group neither pre-operatively, nor postoperatively, how cataract surgery induces retinal and choroidal inflammation is not understood
Summary
Phacoemulsification (phaco) is one of the most widely used cataract surgery techniques nowadays. Ultrasonic energy, fluidics, mechanical effects, compression, and hypoxia on the tissue. Every step of this maneuver can cause direct or indirect effects on ocular tissues. Ultrasonic energy and fluidics produce mechanical effects that cause an inflammatory reaction which affects cornea, retina and choroid. Conclusion: Phacoemulsification affects the macula, phaco power used during the surgery and inflammatory mediators released after the surgery leads to long term increase in Central macular thickness in both diabetic and non-diabetic patients. It was noticed that phacoemulsification causes increase in Central macular thickness noticed at one week & one month post-operatively in both diabetic and non-diabetic patients. We can say that cataract phacoemulsification cause t increase in central macular thickness. Problems involving the ocular surface, dry eyes in particular, have been reported in diabetic patients [1]
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