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Analysis of macular and choroidal thickness after cataract surgery in patients with diabetes using optical coherence tomography

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Session Details

Session Title: Presented Poster Session 01: Cataract Surgery Outcomes 1

Session Date/Time: Saturday 13/09/2014 | 09:30-11:00

Paper Time: 09:45

Venue: Pod 1 (Poster Village)

First Author: : G.Martone ITALY

Co Author(s): :    A. Balestrazzi   A. Tarantello   V. Corbo   P. Massimo   C. Traversi  

Abstract Details


To compare macular thickness (MT) and subfoveal choroidal thickness (SFCT) after cataract surgery in diabetic patients using spectral domain optical coherence tomography (SD-OCT)


Ophthalmology Department, University of Siena, Italy


This prospective cohort study included 40 eyes with mild-moderate nonproliferative diabetic retinopathy (NPDR) without macular edema that underwent uncomplicated cataract surgery divided in 2 groups according to post-operative treatment. Patients were randomized to receive topical nonsteroidal antiinflammatory drug (NSAID) and steroidal treatment (group 1) or topical steroidal drug alone (group 2) for 6 weeks after phacoemulsification. Before surgery and at 1- and 3-month postoperative visits, all patients underwent SD-OCT with enhanced depth imaging protocol. The mean MT and the SFCT were measured by the same operator.


The 20 eyes treated with NSAIDs and steroids showed a reduction on MT and SFCT compared with the 20 eyes of group 2 at all follow-up visits, but the difference was statistically significant (p=.03) only at 1 month follow-up. Changes in SFCT did not correlate with changes in macular thickness.


Diabetic eyes treated with NSAIDs and steroids have a low risk of increased MT and SFCT on SD-OCT after cataract surgery, Treatment to prevent this might improve early outcomes in diabetic patients.

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