Review of cataract surgery in patients under hemodialysis Makoto Shinya 1 , Hideki Mochizuki 1 , Hideki Kawanishi 1 , Mari Katsura 2 , Hiromi Tamura 2 , Shigeo Matsuyama 3 , Satoshi Mukai 3 , Atsushi Minamoto 3 1Dept of Ophthalmol, Tsuchiya General Hosp 2Dept of Ophthalmol, Hiroshima Memorial Hosp 3Dept of Ophthalmol, Hiroshima Univ Sch of Med pp.1099-1102
Published Date 2002/6/15
DOI https://doi.org/10.11477/mf.1410907792
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We performed cataract surgery on 75 eyes of 54 patients who were receiving hemodialysis. The series comprised 33 eyes of 21 diabetic patients and 42 eyes of nondiabetic ones. They were followed up for 3 months or longer after surgery. The pre- and postsurgical level of visual acuity was significantly poorer in diabetic than in nondia-betic eyes. After surgery, cystoid macular edema (CME) developed in 2 diabetic eyes and branch retinal vein occlusion in one diabetic eye. In both cases of CME, the hematocrit level was lower by an average of 6.4 than the preoperative level. The findings show that diabetes mellitus is one of the risk factors for visual acuity after cataract surgery and that anemia may be causatively involved in CME.

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