Dr.SANGEETA SHUKLA

Abstract

To assess risk factors associated with cataract in T1DM.Duration of diabetes HbA1c levels,acute,chronic complications&nutritional factors.Focused also on technique of surgery intraocular lens, Post surgical visual outcome

No.of patients10,Mean Age of surgery13.7yrs,cataract detection postT1DM diagnosis3.7yrs.MeanHbA1c7.9.Outof10patients6hadKetoacidosis(DKA)2Nephropathy 4Retinopathy7low socioeconomicstatus 9Bilateral cataract surgery 6cortical cataract3post polar1Hypermat.19eyes operated7/9SIC done10/19Phaco 2/19MICS.Rigid IOL in2Hydrophilic 6Hydrophobic 7Heparin coated 2Multifocal2

1.Cataract was soft or cortical

2.Better surgical outcome early visual recovery inPhaco&MICS thanSICS

3.Cataract seen after10years of age

4.Not linked to microvascular complications, in followup4/10hadRetinopathy

5.Associated with DKA

Better visual recovery and clear cornea in1stweek postop visit with phaco &premium IOL with minimal PCOlater.positive Correlation with DKA&nutritional deficiency seen