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Corneal Changes After Small-Incision Cataract Surgery in Patients With Diabetes Mellitus
Soichi Morikubo, MD;
Yoshihiro Takamura, MD, PhD;
Eri Kubo, MD, PhD;
Shosai Tsuzuki, MD, PhD;
Yoshio Akagi, MD, PhD
Arch Ophthalmol. 2004;122:966-969.
Objective To evaluate functional impairment in the corneal endothelium of eyes in patients with diabetes mellitus, after small-incision cataract surgery.
Methods Evaluation was performed in 93 eyes in patients with type 2 diabetes mellitus (diabetic group) and 93 eyes in patients without diabetic mellitus (nondiabetic group) who underwent cataract surgery. Using a topography system, the corneal thickness in the central area was measured before surgery and 1 day, 1 week, and 1 month after surgery. Corneal endothelial cells were counted using a noncontact specular microscope.
Results No significant differences in any preoperative measures were observed between the diabetic and nondiabetic groups. The increase in corneal thickness 1 month after surgery was significantly higher in the diabetic group than in the nondiabetic group (P = .03). The corneal endothelial cell losses 1 day and 1 week after surgery were significantly higher in the diabetic group than in the nondiabetic group (after 1 day, P = .03; and after 1 week, P = .04).
Conclusion Compared with nondiabetic eyes, eyes of patients with diabetes mellitus showed more damage in corneal endothelial cells due to cataract surgery and a delay in the postoperative recovery of corneal edema.
From the Division of Ophthalmology, School of Medicine, Fukui University, Fukui, Japan. The authors have no relevant financial interest in this article.
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