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361192

STUDY OF MACULAR THICKNESS, MICRO-VASCULAR, AND PERI PAPILLARY NERVE FIBER LAYER THICKNESS CHANGES AFTER UNCOMPLICATED PHACOEMULSIFICATION IN DIABETIC AND NON DIABETIC PATIENTS

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Last updated: 05 Jan 2025

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Abstract

Background: phacoemulsification continues to be one of the most popular surgical procedures
for cataract extraction in the ophthalmologic practice. Optical Coherence Tomography (OCT) is
a noninvasive and noncontact diagnostic tool with high resolution to assess macular changes.
Aim of the study: evaluate changes in macular thickness, micro vascular changes and peri
papillary NFL thickness that occur after uncomplicated phacoemulsification surgery in eyes with
and without DR in diabetic patients and in a control group. Methods: This study was designed
as Prospective, non-randomized study controlled clinical trial. included 100 eyes. Included Diabetic
and non-diabetic patients were scheduled for phacoemulsification surgery with intraocular lens
(IOL) implantation included divided into four groups: control group, non-diabetic, diabetic with no
DR, diabetic with mild -moderate NPDR, diabetic with severe NPDR. The central retinal (foveal)
thickness microvascular changes & peripapillary NFL thickness of all patients measured with OCT
one week and 1, 3, and 6 months after surgery. A fundus examination with full pupil dilation performed during each scheduled examination. Results: There was non-significant difference in
central macular thickness CMT, RNFL after one month there was a significant difference between
groups while after 3 & 6 months the difference was highly significant. Regarding visual acuity
evaluation there was significant difference between different groups at preoperative and after
1week in the BCVA, also there was moderate significant difference between different groups
after 1month, 3months & 6months. Conclusion: cataract phacoemulsification cause increase in
CMT, RNFL thickness and SCP values in diabetic with different severities of retinopathy.

DOI

10.21608/ejco.2024.361192

Keywords

Cataract, Phacoemulsification, OCT, diabetic, microvascular

Authors

First Name

Ahmed,

Last Name

E.

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Affiliation

Ophthalmology dept., Faculty of Medicine, Alazhar Univ, Assuit., Egypt

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First Name

Mohammed,

Last Name

A.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, Alazhar Univ, Assuit., Egypt

Email

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Orcid

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First Name

Gadelkareem,

Last Name

A.

MiddleName

-

Affiliation

Ophthalmology dept., Faculty of Medicine, Alazhar Univ, Assuit., Egypt

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Volume

7

Article Issue

1

Related Issue

48557

Issue Date

2024-06-01

Receive Date

2024-02-09

Publish Date

2024-06-01

Page Start

77

Page End

85

Print ISSN

2537-0502

Online ISSN

2537-0944

Article File

EJCO_Volume 7_Issue 1_Pages 77-85.pdf

PDF . 309.7kB

Link

https://ejco.journals.ekb.eg/article_361192.html

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https://ejco.journals.ekb.eg/service?article_code=361192

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Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,824

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

MainTitle

STUDY OF MACULAR THICKNESS, MICRO-VASCULAR, AND PERI PAPILLARY NERVE FIBER LAYER THICKNESS CHANGES AFTER UNCOMPLICATED PHACOEMULSIFICATION IN DIABETIC AND NON DIABETIC PATIENTS

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Article

Created At

28 Dec 2024