Surgical Peculiarities in Type II Diabetic Cataracts During Phacoemulsification

Khokhar, Sudarshan; Pangtey, Mayank S.; Soni, Ambarish
March 2003
Ophthalmic Surgery, Lasers & Imaging;Mar/Apr2003, Vol. 34 Issue 2, p100
Academic Journal
BACKGROUND AND OBJECTIVE: To record the surgical peculiarities during phacoemulsification in patients with type II diabetes. PATIENTS AND METHODS: A retrospective, noncomparative analysis. Data from 58 eyes of 43 patients having significant cataract with type II diabetes of more than 5 years' duration who underwent phacoemulsification were considered. Intraoperative difficulties and complications were noted and analyzed. RESULTS: In 24.13% (n = 14) of the cases, the nucleus could not be divided after initial trenching. The management of the nucleus and the cortex required modifications in the surgical technique. CONCLUSIONS: Type II diabetic cataracts were sticky and leathery in approximately one-quarter of the cases.


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