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학술저널
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대한안과학회 Korean Journal of Ophthalmology Korean Journal of Ophthalmology 제25권 제4호
발행연도
2011.1
수록면
238 - 242 (5page)

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Purpose: To assess the macular thickness changes after cataract surgery in diabetic patients using optical coherence tomography (OCT). Methods: We retrospectively reviewed the records of 104 diabetic patients who underwent cataract surgery. We examined the changes of macular thickness using OCT before cataract surgery and 1 week, 1-, 2- and 6-months after surgery. The central subfield mean thickness (CSMT) was used to evaluate macular edema which was defined as an increase of CSMT (ΔCSMT) > 30% from the baseline. The association between prior laser treatment or severity of diabetic retinopathy and macular thickness were also analyzed. Results: Macular edema occurred in 19 eyes (18%) from the diabetic group and 63% of macular edema developed at 1 month after surgery. Thirteen (68%) out of 19 eyes with macular edema showed the resolution of macular edema by 6 months after surgery without treatment. ΔCSMT of eyes without a history of laser treatment was statistically greater compared to eyes with a history of laser treatment in at 1- and 2-months after surgery, but was not different than eyes who had laser treatment at 6-months after surgery. The severity of diabetic retinopathy was not significantly correlated to macular edema, but there was statistical difference when patients who had a history of prior laser treatment were excluded. Conclusions: The incidence of macular edema after cataract surgery in diabetic patients was 18%. Its peak incidence was at 1 month post surgery and it resolved spontaneously in 68% of patients by 6 months post surgery. Prior laser treatment might prevent postoperative macular edema until 2 months after cataract surgery in diabetic patients. However, macular edema did not affect the severity of diabetic retinopathy.
#Cataract extraction #Diabetic retinopathy #Macular edema #Macular thickness

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참고문헌 (14)

참고문헌 신청
Benson WE / 1992 / Cataract surgery and diabetic retinopathy / Curr Opin Ophthalmol 3 : 396 ~ 400 google schola Browning DJ / 2004 / Comparison of the clinical diagnosis of diabetic macular edema with diagnosis by optical coherence tomography / Ophthalmology 111 : 712 ~ 715 google schola Browning DJ / 2008 / Optical coherence tomography measurements and analysis methods in optical coherence tomography studies of diabetic macular edema / Ophthalmology 115 : 13 google schola Chew EY / 1999 / Results after lens extraction in patients with diabetic retinopathy:early treatment diabetic retinopathy study report number 25 / Arch Ophthalmol 117 : 1600 google schola Dowler JG / 1999 / The natural history of macular edema after cataract surgery in diabetes / Ophthalmology 106 : 663 ~ 668 google schola

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