Dr. Richa Rai, Dr.Sanjiv Garg, Dr. Malik K P S, Dr. Virendra Kumar Malik, Dr. Charu Jain
Aim-to study the change in CCT and endothelial cell density in type 2 diabetics after phaco and SICS using specular microscopy.Method-study comprised of 40 patients,20 each of phaco and SICS.In each group,10 patients were of type 2 diabetes and 10 non diabetic patients were taken as control.Preoperatively visual acuity,CCT,endothelial cell count,anterior segment and posterior segment evaluation was done.Inclusion criteria-senile cataract, age between 40-75 yrs and diabetic patients without retinopathy.Exclusion criteria-other cataracts,endothelial cell count<1500cells/sq.mm,pupillary dilation<7mm,previous intraocular and refractive surgery,glaucoma.NON CONTACT specular examination postoperatively on day1,1week,3weeks and 6 weeks.Result-there was a steady loss of cell density and increase in CCT in both groups of SICS and phaco,more in diabetics than non diabetics.
CONCLUSION-The diabetic endothelium was found to be under greater metabolic stress and had less functional reserve.