Review and update of cataract surgery in the diabetic eye

Sunali Goyal, Joshua Hardin, Sami H. Uwaydat, Abdallah A. Ellabban, David B. Warner, Ahmed B. Sallam

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Introduction: Diabetes, a systemic disease of increasing world prevalence, is a major risk factor for cataract development. It influences cataract formation through osmotic and free radical damage, leading to different subtypes of lenticular opacity. Cataract surgery in diabetics is predicted to increase substantially over the next 30 years. Diabetic cataract surgery is often more challenging due to pre-existing diabetic eye disease and is associated with higher rates of intra- and postoperative complications. Areas covered: In this review, the pathogenesis of diabetic cataract, pre-operative assessment, surgical planning, intraoperative management of specific complications, management of postoperative complications, as well as advances in pharmacotherapy have been discussed. Expert commentary: A comment on best current practices based on clinical experience and emerging treatment modalities has been profiled. Diabetic patients considered for cataract surgery should have a thorough preoperative evaluation in close collaboration with cataract and retina surgeon. In addition, diagnosing and treating diabetic retinopathy and maculopathy both pre and post-operatively with laser therapy and or pharmacological agents like anti-VEGF and newer steroid implants helps in achieving better patient outcomes.

Original languageEnglish (US)
Pages (from-to)359-371
Number of pages13
JournalExpert Review of Ophthalmology
Volume12
Issue number5
DOIs
StatePublished - Sep 3 2017
Externally publishedYes

Keywords

  • Cataract
  • diabetes mellitus
  • diabetic macular edema
  • diabetic retinopathy

ASJC Scopus subject areas

  • Biomedical Engineering
  • Ophthalmology
  • Optometry

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  • Cite this

    Goyal, S., Hardin, J., Uwaydat, S. H., Ellabban, A. A., Warner, D. B., & Sallam, A. B. (2017). Review and update of cataract surgery in the diabetic eye. Expert Review of Ophthalmology, 12(5), 359-371. https://doi.org/10.1080/17469899.2017.1351296