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Revista Cubana de Oftalmología
versión On-line ISSN 1561-3070
Resumen
HORMIGO PUERTAS, Iraisi et al. Ophthalmological characterization of type 2 diabetics with bilateral senile cataract. Rev Cubana Oftalmol [online]. 2019, vol.32, n.1 Epub 30-Jun-2019. ISSN 1561-3070.
Objective:
Determine the ocular characteristics of type 2 diabetics with bilateral senile cataract.
Methods:
A descriptive cross-sectional study was conducted of 248 type 2 diabetics with bilateral senile cataract at Ramón Pando Ferrer Cuban Institute of Ophthalmology from September 2015 to September 2016.
Results:
A predominance of the female sex (69.6 %), mean age 70.6 years, body mass index in overweight patients 46.5%, time of evolution 5-9 years (52.2 %), treatment with oral hypoglycemic agents 95.2 %, best visual acuity without correction with retinal damage 0.1 and without damage 0.3; best corrected visual acuity without retinal damage 0.5 and with damage 0.2, all according to the Snellen chart; average endothelial cell density 2 143.15 ± 326.08 cell/mm2, coefficient of variability 53.18 ± 7.14% and hexagonality 42.68 ± 18.70 %.
Conclusions:
Coexistence of type 2 diabetes mellitus and bilateral senile cataract is more common among women aged over 70 years, overweight or obese, with a time of evolution of diabetes mellitus of 5 to 9 years, and controlled with oral hypoglycemic agents. The worst visual acuity is related to retinal damage. However, keratometries, biometries and ocular tension results were all normal. There were no endothelial density alterations, but there was pleomorfism and polymegethism.
Palabras clave : Cataract surgery; diabetes mellitus; oral hypoglycemic agents.