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Cancer treatment controls macular edema related to diabetes and to cataract surgery
Date:7/31/2009

ive of these patients had surgery in just one eye.

Overall, DR developed or progressed in about one-third of operated eyes compared with about one-fifth of non-operated eyes. In the 45 patients for whom fellow eye comparisons were made, DR progressed in 35.6 percent of operated eyes versus 20 percent of non-operated eyes. Research on older cataract surgery methods had reported DR progression in 37 to 38 percent of eyes within 12 to 18 months of surgery; phacoemulsification is somewhat less likely to stimulate DR progression, the new study suggests. Dr. Wang cautions that patients who need cataract surgery may simply be at greater risk for DR progression, because both conditions are related to poor control of diabetes. Cataract may be a marker for greater DR severity or increased risk of progression.

"Although our results should not argue against cataract surgery in older people with diabetes, clinicians need to recognize the DR risk, treat active DR preoperativelyfor example, use laser treatment to control macular edemaand closely monitor diabetes and DR after cataract surgery," Dr. Wang said.


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Contact: Mary Wade
mwade@aao.org
415-561-8534
American Academy of Ophthalmology
Source:Eurekalert

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