Journal of the Korean Ophthalmological Society 2007;48(2):291-296.
Published online February 28, 2007.
Influence of Phacoemulsification on the Progression of Diabetic Retinopathy.
Jae Hui Kim, Hee Yoon Cho, Jong In Kim, Chang Won Kee, Byung Heon Ahn, Se Woong Kang
1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. swkang@smc.samsung.co.kr
2Department of Ophthalmology, Hantang University, School of Medicine, Seoul, Korea.
3Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea.
수정체초음파유화술이 당뇨망막병증의 진행에 미치는 영향
김재휘1,조희윤1,2,김종인1,3,기창원1,안병헌1,강세웅1
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine1, Seoul, Korea Department of Ophthalmology, Hantang University, School of Medicine2, Seoul, Korea Department of Ophthalmology, Konyang University, Kim`s Eye Hospital3, Seoul, Korea
Correspondence:  Jae Hui Kim, M.D.1
Abstract
PURPOSE
To evaluate influence of phacoemulsification on the progression of diabetic retinopathy METHODS: The medical charts of 82 eyes of 41 patients with nonproliferative diabetic retinopathy (DR) who had unilateral phacoemulsification were retrospectively reviewed. The course of diabetic retinopathy was followed up for more than 2 years. Each stage of DR progression was indicated by a unique score, and a comparison of the progression of DR between operated and non-operated eyes was performed using the devised scoring system. RESULTS: The progression of 82 eyes at a mean follow-up period of 28 months was evaluated. DR progressed more in operated eyes than in non-operated eyes (P=0.006). The progression of proliferative DR in operated eyes (19.5%, 8 eyes) was significantly greater (P=0.029) than in non-operated eyes (2.4%, 2 eyes). CONCLUSIONS: Phacoemulsification resulted in a progression of diabetic retinopathy. Careful approach to the cataract patients with diabetic retinopathy would be recommended.
Key Words: Cataract;Diabetic retinopathy;Phacoemulsification


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