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dc.contributor.authorGrzybowski, Andrzej
dc.contributor.authorKanclerz, Piotr
dc.contributor.authorHuerva, Valentín
dc.contributor.authorAscaso, Francisco J.
dc.contributor.authorTuuminen, Raimo
dc.description.abstractDiabetes mellitus is one of the most prevalent chronic diseases worldwide. Diabetic patients are at risk of developing cataract and present for surgery at an earlier age than non-diabetics. The aim of this study was to review the problems associated with cataract surgery in a diabetic patient. Corneal complications in diabetic patients include delayed wound healing, risk of developing epithelial defects or recurrent erosions due to the impairment of epithelial basement membranes and epithelial-stromal interactions. Diabetic patients present lower endothelial cell density and their endothelium is more susceptible to trauma associated with cataract surgery. A small pupil is common in diabetic patients making cataract surgery technically challenging. Finally diabetic patients have an increased risk for developing postoperative pseudophakic cystoid macular edema, posterior capsule opacification or endophthalmitis. In patients with pre-proliferative or proliferative diabetic retinopathy, diabetic macular edema or iris neovascularization adjunctive therapy such as an intravitreal anti-vascular endothelial growth factor injection, can inhibit exacerbation related to cataract surgery.ca_ES
dc.relation.isformatofReproducció del document publicat a
dc.relation.ispartofJournal of Clinical Medicine, 2019, vol. 8, núm. 5, p. 716ca_ES
dc.rightscc-by (c) Grzybowski et al., 2019ca_ES
dc.subjectCataract surgeryca_ES
dc.subjectDiabetic macular edemaca_ES
dc.subjectDiabetes mellitusca_ES
dc.subjectDiabetic retinopathyca_ES
dc.titleDiabetes and Phacoemulsification Cataract Surgery: Difficulties, Risks and Potential Complicationsca_ES

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cc-by (c)  Grzybowski et al., 2019
Except where otherwise noted, this item's license is described as cc-by (c) Grzybowski et al., 2019