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MEAN CHANGE IN CENTRAL MACULAR THICKNESS IN DIABETIC PATIENTS WITH AND WITHOUT DIABETIC RETINOPATHY AFTER PHACOEMULSIFICATION
Journal article

MEAN CHANGE IN CENTRAL MACULAR THICKNESS IN DIABETIC PATIENTS WITH AND WITHOUT DIABETIC RETINOPATHY AFTER PHACOEMULSIFICATION

Muhammad Farqaleet, Tayyaba Gull Malik, Zubair Saleem, Hassan Tariq and Maryam Shahid
Pakistan Postgraduate Medical Journal, v 35(4), pp 161-164
31 Dec 2024
url
https://doi.org/10.51642/ppmj.v35i04.636View
Published, Version of Record (VoR) Open

Abstract

Objective: To compare the mean change in central macular thickness (CMT) of type 2 diabetic patients with and without diabetic retinopathy after phacoemulsification. Quasi experimental study at ophthalmology department of Lahore General Hospital, Lahore, from 06-11-2021 to 06-05-2022. Methods: A total of 126 patients diagnosed with Type 2 diabetes were recruited from the outpatient department through convenient sampling. Complete history and examination were done and diabetic retinopathy was diagnosed with slit lamp using +78D lens. CMT was measured by OCT before phacoemulsification and one month after surgery. Change in CMT was compared between patients with and without diabetic retinopathy. Results: Mean age of patients was 59.52±8.81 years and mean HbA1c was 7.70+ 1.27 mg/dl. Mean pre-operative, post-operative and change in CMT were 240.80+16.54, 271.19+41.28 and 30.39+34.57µm respectively. There were 52.4% males and 47.6% females. Patients with DR had higher CMT as compared to patients without DR (p=0.000). Conclusion: There is a significant increase in CMT of patients with DR who undergo phacoemulsification. Strict diabetic control is needed before surgery and intravitreal injection of anti-VEGF may be given is high risk patients

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