Effect of uncontrolled glycemic on cataract surgery outcome in patient with diabetic retinopathy

NLP Wistya Eka Mahadewi (Opthalmology Registrar of Opthalmology, Faculty of Medical and Health Science Udayana University, Bali Indonesia)
I Wayan Gede Jayanegara (Ophthalmologist of Faculty of Medical and Health Science Udayana University, Bali Indonesia)
Siska (Ophthalmologist of Faculty of Medical and Health Science Udayana University, Bali Indonesia)
I Made Agus Kusumadjaja (Ophthalmologist of Faculty of Medical and Health Science Udayana University, Bali Indonesia)

ISM (Intisari Sains Medis) : Jurnal Kedokteran
Vol. 13 No. 2 (2022): (In Press : 1 August 2022)

Objective: This study aims to report a case of catarct surgey outcome in cataract diabetic patient with uncontrolled glycemic. Case Presentation: A 54-year-old woman has catarct on both eye and history of diabetes mellitus for 15 years. The patients was planned for cataract surgery when blood sugar below 200mg/dL in left eye,blood sugar patients from 248 mg/dL become 168 mg/dL. One week post operation evaluation revealed corneal edema, due to phaco time intra surgery in this patient increased. Visual acuity was 6/120 BCVA on the right eye and 6/18 BCVA on the left eye. Visual acuity has decreased in 2 months after surgery, 1/60 BCVA on the right eye and 6/18 BCVA on the left eye, as well as funduscopy presence of dot blot, flame-shaped, and traction on both eyes. This outcome was contributed by an uncontrolled blood glucose of the patient. Conclusion: Preoperative preparations in diabetic cataract patients are mandatory, including blood sugar and HbA1C control, to achieve a better outcome of ocular surgery in patients with diabetes mellitus.