Editor’s note: Ophthalmology Times is pleased to recognize John R. Chancellor, MD, MS, resident, Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, as the second-place honoree of the second Ophthalmology Times Research Scholar Honoree Program. Dr. Chancellor’s abstract is featured here. The Ophthalmology Times Research Scholar Honoree Program is dedicated to the education of retina fellows and residents by providing a unique opportunity for fellows/residents to share notable research and challenging cases with their peers and mentors. The program is supported by unrestricted grants from Regeneron Pharmaceuticals and Carl Zeiss Meditec Inc. Look for more case study honorees in upcoming issues of Ophthalmology Times.
At some point, every ophthalmologist is going to have a diabetic patient walk into the office who is going to have a visually significant cataract. Diabetic retinopathy is the leading cause of vision loss among patients with diabetes and a primary cause of blindness among working-age adults.
As a result, the purpose of the study was to evaluate how diabetic retinopathy influences cataract surgery. The primary aims included studying preoperative risk factors, intraoperative complications, and postoperative outcomes.
The study examined a retrospective clinical database study of 217,107 eyes that underwent cataract surgery at eight UK National Health Service hospitals between 2000-2015. Of those eyes included in the database study, 138,100 were not diabetic; 41,059 were diabetic; and for the remaining 37,948, the diabetic status was not recorded.
Our methods for the evaluation of risk factors compared prevalence of preoperative risk factors and co-pathology between diabetic patients and non-diabetic patients. In the evaluation of complications, we compared incidences of intraoperative complications between diabetic patients and non-diabetic patients during cataract surgery.
Lastly, we compared postoperative outcomes between diabetic patients and non-diabetic patients after cataract surgery. Our methodology included strict inclusion criteria, including no copathology, except amblyopia; no simultaneous surgical procedures, except intraocular injection; and clear ETDRS grading of retinopathy was required.
John R. Chancellor, MD, MS
E: [email protected]
Dr. Chancellor has no financial interests or relationships to disclose. None of the listed participants on his project have any financial interests or relationships to disclose.