Hormigó PIF, Galindo RK, Cárdenas DT, León CP, Trujillo FKM, Montero DE

Language: Spanish
References: 23
Page: 88-96
PDF size: 91.99 Kb.

ABSTRACT

Diabetes mellitus is one of the main causes of blindness worldwide. Diabetic retinopathy represents 12 % of the new cases every year. The risk of becoming blind is twenty five times higher in diabetics and they may develop cataract earlier than the general population. The quality of care in these patients defines the visual result. Delving into the cataract surgery elements in the case of a diabetic patient is fundamental. A literature review of publications and clinical practice guidelines on cataract surgery in the diabetic patient published from 2009 to 2014. The gathered information was reviewed and processed by the team of researchers. Important elements were defined in the diabetic patient in the different stages of care during the preoperative, perioperative and postoperative periods. The comprehensive assessment of diabetic patients to be performed cataract surgery has particularities defining the visual gain. The phacoemulsification techniques and the implantation of hydrophilic lenses in the capsular sack represent an advance in treating diabetic patients, with lower incidence of inflammatory conditions postoperatively due to the little surgical traumatism involved in this technique. The drug or the laser-assisted (photocoagulation) treatment and the early surgery improve the visual prognosis.

REFERENCES

1. Fong DS, Ferris FL, Davis MD, Chew EY. Causes of severe visual loss in the early treatment diabetic reinopathy study: ETDRS report no. 24. Early Treatment Diabetic Retinopathy Study Research Group. Am J Ophthalmol. 1999;127(2):137-41.

2. Hernández JR, Ballesteros A, Curbelo L, Padilla CM, Ramos M, Rio M. Facoemulsificación en casos especiales: Instituto Cubano de Oftalmología "Ramón Pando Ferrer", 2002-2005. Rev Cubana Oftalmol. 2006 [citado 10 de enero de 2015]:[aprox 26 p.]. Disponible en: http://scielo.sld.cu/pdf/oft/v19n1/oft11106.pdf

3. Blanco Rivera C. Catarata en el paciente adulto. Guía de práctica clínica. NINOCentro de Impresión Digital. 2008 [citado 8 de noviembre de 2014]. Disponible en: http://www.guiasalud.es

4. Hernández JR, Campero A, Ramos M, Miranda I, Ruiz Y, Rio M. Técnica CoMICS para la cirugía de catarata por microfacoemulsificación. Rev Cubana Oftalmol. 2010 [citado 10 de enero de 2015];23(1):[aprox 16 p.]. Disponible en: http://www.bvs.sld.cu/revistas/oft/vol23_01_10/oft01110.htm

5. Curbelo Cunill L. Técnicas de Chopping en MICS. En: Centurión V, editor. El Libro del Cristalino de las Américas. Livraria Santos: Brasil; 2007. p. 527-38.

6. Boyd S. Nuevas técnicas en cirugía de catarata. Panamá: Highlights Of Ophthalmology. 2005;14. p. 163-4.

7. Soler JR. Tercera generación de la facoemulsificación: técnica endocapsular. Annals d' Oftalmología. 1992 [citado 10 de enero de 2015];2(3). Disponible en: http://www.nexusediciones.com/np_ao_1992_2_3_003.htm

8. Nagahara K. Phaco-chop technique eliminates central sculpting and allows faster, safer phaco. Ocular Surgery News, International Edition. 1993;10:12-3.

9. Asís O, Ruiz A, Soler FL, Romero MD. Daño endotelial tras facoemulsificación de cataratas maduras. 1999 [citado 8 de noviembre de 2014]. Disponible en: http://www.oftalmo.com/secoir/secoir1999/rev99-2/99b-08.htm

10. Hernández JR, Curbelo L, Padilla CM, Ramos M, Rio M. Resultados de la cirugía de catarata por microincisiones. Rev Cubana Oftalmol. 2005 [citado 2 de octubre de 2014];18(1):[aprox 7 p.]. Disponible en: http://bvs.sld.cu/revistas/oft/vol18_1_05/oft09105.htm

11. Rodríguez Méndez E, Rodríguez Fontal M, Alfaro V, Quiroz-Mercado H. Catarata en pacientes con retinopatía diabética. En: Alfaro V, Gómez-Ulla F, Quiroz-Mercado HS, Figueroa M, Villalba S. Retinopatía diabética. Tratado médico quirúrgico. Mac Line SL; 2006. p. 249-56.

12. Hirsch IB. Sliding scale insulin-time to stop sliding. JAMA. 2009;301(2):213-4.

13. Vann MA. Perioperative management of ambulatory surgical patients with diabetes mellitus. Curr Opin Anaesthesiol. 2009;22(6):718-24.

14. American Diabetes Association. Standards of Medical Care for patients with Diabetes Mellitus. Diabetes Care. 2003;26(Suppl 1):S33-50.

15. American Academy of Ophthalmology. Cataract in the adult eye. Preferred practice pattern guideline. San Francisco, CA. EE.UU: American Academy of Ophthalmology. 2011 [citado 10 de enero de 2015]. Disponible en: http://www.aao.org/pp

16. The Royal College of Ophthalmologists. Cataract surgery guidelines [monografía en Internet]. London: cientific Department. The Royal College of Ophthalmologists. 2010 [citado 10 de enero de 2015]. Disponible en: http://www.rcophth.ac.uk

17. Schein OD, Katz J, Bass EB, Tielsch JM, Lubomski LH, Feldman MA, et al. The value of routine preoperative medicaltesting before cataract surgery. Study of Medical Testing for Cataract Surgery. N Engl J Med. 2000;342(3):168-75.

18. Bass EB, Steinberg EP, Lutrha R, Schein OD, Tielsch JM, Javitt JC, et al. Do ophtalmologists, anesthesiologists, and internists agree about preoperative testing in healthy patients undergoing cataract surgery? Arch Ophtalmol. 1995;113(10):1248-56.

19. Dowler JG, Hykin PG, Hamilton AMP. Phacoemulsification versus extracapsular cataract extraction in patients with diabetes. Ophthalmology. 2000;107(3):457-46.

20. Díaz Valle D. Estudio morfológico y funcional del endotelio corneal tras la cirugía de cataratas. [Tesis]. Madrid: Universidad de Medicina; 1995.

21. Diagnóstico y tratamiento de la catarata no complicada. México: Secretaría de Salud. 2008 [citado 10 de enero de 2015]. Disponible en: http://www.cenetec.salud.gob.mx/interior/gpc.htlm

22. Alemañy MJ. Oftalmología. La Habana: Editorial Ciencias Médicas; 2005.

23. Alberta Clinical Practice Guidelines Program. Guideline for surgical & nonsurgical management of cataract in the otherwise healthy adult eye. Alberta Clinical Practice Guidelines Program; 2009 [citado 10 de enero de 2015]. Disponible en: http://www.topalbertadoctors.org/guidelines/fulltext/cataract.pdf