DM & PCO: Evaluation of Posterior Capsule Opacification in Eyes With Diabetes Mellitus
Study Details
Study Description
Brief Summary
To compare the development of posterior capsule opacification (PCO) between eyes with and without a history of diabetes mellitus (DM) after single-piece hydrophobic acrylic intraocular lens (IOL) implantation 4 years postoperatively.Diabetes mellitus would not increase the incidence of PCO at 4 years.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
There is a paucity of available literature that prospectively evaluates the development of PCO with the single-piece hydrophobic acrylic IOL implantation in diabetic versus non-diabetic eyes on a long-term basis. Therefore, this study was designed to compare the degree of PCO after cataract surgery between diabetic and age-matched non-diabetic patients. This prospective, observational case control study comprised patients who underwent phacoemulsification .The patients were asked to return for postoperative follow-up visits at 1 month, 1 year and 4 years.
the digital images were analyzed for PCO .
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Group:A-cases-Patients with a history of Diabetes Mellitus (N=75 eyes). The inclusion criteria for group A: Diabetes mellitus was defined as glycosylated haemoglobin (Hb A1c ) levels of 6% or more , use of diabetic medication (oral hypoglycemic agents, insulin injection or diet restriction), or a physician's diagnosis of diabetes. |
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Group - B:controls Patients with uncomplicated age-related cataract who were otherwise healthy constituted the controls(Group:)B (n=75 eyes). |
Outcome Measures
Primary Outcome Measures
- Development of Posterior capsule opacification. [4 years]
This prospective, observational case control study comprised patients who underwent phacoemulsification .Subjects with a history of diabetes mellitus (DM) were designated as cases (n=75 eyes).Inclusion criteria for cases: Diabetes mellitus was defined as glycosylated haemoglobin (Hb A1c ) levels of 6% or more , use of diabetic medication (oral hypoglycemic agents, insulin injection or diet restriction), or a physician's diagnosis of diabetes. Patients with uncomplicated age-related cataract who were otherwise healthy constituted the controls (n=75 eyes).
Secondary Outcome Measures
- duration of diabetes, stage of diabetic retinopathy [4 years]
The stage of diabetic retinopathy and duration of diabetes was correlated with the degree of PCO in the cases group.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diabetes mellitus was defined as glycosylated haemoglobin (Hb A1c ) levels of 6% or more ,
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use of diabetic medication (oral hypoglycemic agents, insulin injection or diet restriction), or a physician's diagnosis of diabetes.
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Patients with uncomplicated age-related cataract who were otherwise healthy constituted the controls (n=75 eyes).
Exclusion Criteria:
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patients with glaucoma,
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high myopia (axial length > 27.0 mm),
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pseudoexfoliation,
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traumatic cataract,
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subluxated cataract,
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previous ocular surgeries,
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allergy to dilating drops.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Iladevi Cataract and IOL Research Center
Investigators
- Principal Investigator: Gauri D Shah, M.S, Iladevi Cataract &IOL Research Centre
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 01072007