Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Progression Of Diabetic Retinopathy Following Cataract Surgery

Introduction: Diabetes is the most common risk factor for cataract development in underdeveloped countries. Cataract was the principal cause of legal blindness in adult-onset diabetics and the second most common cause of legal blindness after proliferative diabetic retinopathy in those with juvenile-onset diabetes. Cataract surgery in diabetic patients has been associated with progression of retinopathy. Objctive: to report the progression of diabetic retinopathy following cataract surgery. Case Report: CaseI, A 55 years old woman was diagnosed as diabetic cataract ODS. She had undergone phacoemulsification+IOL on left eye. Postoperatively the visual acuity in left eye was improved. Afer four months the visual acuity in left eye was decreased, she was diagnosed as immature cataract OD + mild-moderate NPDR OD + macular edema OD + pseudofakia OS + severe NPDR OS + macular edema OS. Intravitreal injection of Avastin® was done in her left eye. One week after injection the visual acuity in left eye was improved and than she had undergone panretinal laser photocoagulation (PRP) in her left eye. Case II, A 59 years old woman was diagnosed as diabetic cataract ODS. phacoemulsification+IOL on right eye and than left eye was done. One week postoperative the visual acuity in both eyes was decreased, she was diagnosed as pseudofakia ODS + PDR ODS. and had undergone intravitreal injection Avastin®, panretinal laser photocoagulation (PRP) in her both eyes. The visual acuity in the left eye was improved Conclusion: Cataract surgery in diabetic patients has been associated progression of retinopathy and that progression is associated with poor visual prognosis.