Intraocular lens selection in diabetic patients:How to increase the odds for success  

作　　者：Arvind Kumar Morya Prateek Nishant Prasanna Venkatesh Ramesh Sony Sinha Aarti Heda Sarika Salodia Ripunjay Prasad 

机构地区：[1]Department of Ophthalmology,All India Institute of Medical Sciences,Hyderabad 508126,Telangana,India [2]Department of Ophthalmology,ESIC Medical College,Patna 801113,Bihar,India [3]Department of Glaucoma and Research,Mahathma Eye Hospital Private Limited,Trichy 620017,Tamil Nadu,India [4]Department of Ophthalmology-Vitreo-Retina,Neuro-Ophthalmology and Oculoplasty,All India Institute of Medical Sciences,Patna,Patna 801507,Bihar,India [5]Department of Ophthalmology,National Institute of Ophthalmology,Pune 411000,Maharashtra,India [6]Department of Safety,Global Medical Safety,Lundbeck,Singapore 307591,Singapore [7]Department of Ophthalmology,RP Eye Institute,Delhi 110001,India

出　　处：《World Journal of Diabetes》2024年第6期1199-1211,共13页世界糖尿病杂志（英文版）（电子版）

摘　　要：The incidence of cataracts is significantly higher in diabetic individuals,particularly in younger age groups,with rates quadrupled in those under 65 and doubled in those over 65 compared to non-diabetics.Cataract surgery in diabetic patients poses many challenges:Poor epithelial healing,decreased corneal sensitivity,increased central corneal thickness,decreased endothelial cell count,variable topography,poor pupillary dilatation,anterior capsular phimosis,posterior capsular opacification(PCO),chances of progression of diabetic retinopathy(DR),zonular weakness,and vitreous prolapse and diabetic macular edema.Selection of an appropriate intraocular lens(IOL)is crucial for visual rehabilitation and monitoring DR.The choice of IOL in diabetic cataract patients is a challenging scenario.Square-edge IOLs are favored for their capacity to mitigate PCO,whereas hydrophilic counterparts may incur calcification in the setting of proliferative DR.The advisability of premium IOLs for achieving spectacle independence warrants judicious evaluation,particularly in the presence of advanced retinopathy.Optimal IOL placement within the capsular bag is advocated to minimize postoperative complications.Rigorous preoperative assessment and informed patient counseling regarding IOL options are indispensable for optimizing surgical outcomes.This review article covers various aspects regarding the choice of IOLs in different case scenarios and complications in the diabetic population.

关 键 词：DIABETICS CATARACT Intraocular lens Diabetic retinopathy Diabetes mellitus 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]