DR. SONY SINHA

DR. PRATEEK NISHANT

Abstract

Purpose: To describe and compare intraoperative difficulties and postoperative complications in diabetic and nondiabetic patients undergoing SICS with PCIOL

Methods: Prospective comparative study in a tertiary care institution in east India. After thorough preoperative assessment and ensuring euglycemic status, 30 diabetic and 30 nondiabetic patients with similar baseline features underwent standard SICS with superior sclerocorneal tunnel and PCIOL implantation.

Results: Occurrence of poor mydriasis, intraoperative hyphema, posterior capsule rupture, striate keratopathy, marginal corneal infiltrates, early iridocyclitis, corneal edema, posterior capsular opacification, cystoid macular edema, late iridocyclitis and pigmentary deposits on the IOLs were not significantly different in the two groups. However, early IOP rise was significantly more common in diabetics (p=0.037).

Conclusion: Clinicians should be watchful for early postoperative IOP rise in diabetic patients undergoing SICS.