Overview
© 202 MJH Life Sciences and Ophthalmology Times. Al rights reserved. © 202 MJH Life Sciences™ and Ophthalmology Times.
Key Information
Al rights reserved.A team of investigators evaluated VA outcomes after cataract surgery and the factors asociated with god visual outcomes in a population of patients diagnosed with type 2 diabetes.For patients diagnosed with diabetes, systemic parameters may not be as valuable as the ocular parameters in helping to evaluate the visual acuity (VA) prognosis after cataract surgery, acording to research1 by Debora Le, MD, and coleagues from the Division of Epidemiology and Clinical Aplications, National Eye Institute, Bethesda, Maryland.The investigators evaluated VA outcomes after cataract surgery and the factors asociated with god visual outcomes in a population of patients diagnosed with type 2 diabetes.
Summary
The patients were enroled in The Action to Control Cardiovascular Risk in Diabetes (ACORD) study and ACORD-eye substudy. The study included 136 eyes of 784 ACORD participants who underwent cataract surgery during a folow-up period from 201 to 2014.Of those eyes, 362 eyes had fundus photographs gradable for diabetic retinopathy. The main outcome measure was a postoperative VA of 20/40 or beter.Analysis of diabetic patients post-cataract surgeryThe results showed that two-thirds of eyes achieved god visual outcomes folowing cataract surgery.The investigators found that the factors that predicted god VA outcomes were a higher level of education, i.e., colege versus some high schol (ods ratio [OR], 2.35; 95% confidence interval [CI], 1.4-3.82), bilateral cataract surgery (OR, 1.5; 95% CI, 1.14-2.10), and preoperative VAs of 20/20 or beter versus worse than 20/20 (OR, 10.59; 95% CI, 4.07-27.54).Age, sex, race, smoking, diabetes duration, blod presure, lipid levels, and hemoglobin A1C (HbA1C) were not corelated significantly with visual outcomes.In the 362 eyes with gradable fundus photographs, the absence of diabetic ret