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Effect of uncontrolled glycemic on cataract surgery outcome in patient with diabetic retinopathy



Abstract

Objective: This study aims to report a case of catarct surgey outcome in cataract diabetic patient with uncontrolled glycemic.

Case Presentation: A 54-year-old woman has catarct on both eye and history of diabetes mellitus for 15 years. The patients was planned for cataract surgery when blood sugar below 200mg/dL in left eye,blood sugar patients from 248 mg/dL become 168 mg/dL. One week post operation evaluation revealed corneal edema, due to phaco time intra surgery in this patient increased. Visual acuity was 6/120 BCVA on the right eye and 6/18 BCVA on the left eye. Visual acuity has decreased in 2 months after surgery, 1/60 BCVA on the right eye and 6/18 BCVA on the left eye, as well as funduscopy presence of dot blot, flame-shaped, and traction on both eyes. This outcome was contributed by an uncontrolled blood glucose of the patient.

Conclusion: Preoperative preparations in diabetic cataract patients are mandatory, including blood sugar and HbA1C control, to achieve a better outcome of ocular surgery in patients with diabetes mellitus.

Keywords: Keywords cataract phacoemulsification glycemic control diabetic retinopathy outcome

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How to Cite

NLP Wistya Eka Mahadewi, Jayanegara, I. W. G., Siska, & I Made Agus Kusumadjaja. (2022). Effect of uncontrolled glycemic on cataract surgery outcome in patient with diabetic retinopathy. Intisari Sains Medis, 13(2), 466–469. https://doi.org/10.15562/ism.v13i2.1374
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NLP Wistya Eka Mahadewi
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I Wayan Gede Jayanegara
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Siska
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I Made Agus Kusumadjaja
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