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Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Diabetes. Mar 15, 2019; 10(3): 140-153
Published online Mar 15, 2019. doi: 10.4239/wjd.v10.i3.140
Cataract in diabetes mellitus
Hasan Kiziltoprak, Kemal Tekin, Merve Inanc, Yasin Sakir Goker
Hasan Kiziltoprak, Yasin Sakir Goker, Department of Ophthalmology, University of Health Sciences, Ulucanlar Eye Training and Research Hospital, Ankara 06240, Turkey
Kemal Tekin, Merve Inanc, Ophthalmology Department, Ercis State Hospital, Van 65400, Ercis, Turkey
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest. No financial support.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Kemal Tekin, MD, Doctor, Ophthalmology Department, Ercis State Hospital, Kisla Street, No. 7, Van 65400, Ercis, Turkey. kemal_htepe@hotmail.com
Telephone: +90-542-8464697 Fax: +90-432-3124827
Received: February 20, 2019
Peer-review started: February 20, 2019
First decision: February 26, 2019
Revised: March 6, 2019
Accepted: March 8, 2019
Article in press: March 8, 2019
Published online: March 15, 2019
Processing time: 24 Days and 12 Hours
Abstract

Diabetes mellitus (DM) is a chronic systemic disease that has increases in prevalence over time. DM can affect all ocular structures, with cataract being the most common ocular complication. Cataract is the leading cause of blindness worldwide. Due to several mechanisms, there is an increased incidence of cataract formation in the diabetic population. Advancements in technology have now made cataract surgery a common and safe procedure. However, the diabetic population is still at risk of vision-threatening complications, such as diabetic macular edema (ME), postoperative ME, diabetic retinopathy progression, and posterior capsular opacification.

Keywords: Diabetes; Cataract; Complications; Surgery

Core tip: Because the number of people with diabetes mellitus is predicted to increase in the future, cataract surgery will remain an important procedure for diabetic patients. Patients with diabetes have multiple issues which should be evaluated preoperatively, perioperatively, and in the postoperative period. The preoperative, intraoperative, and postoperative factors are of paramount importance in the management of such complications and in improving visual outcomes. This article aims to review diabetic cataracts and related complications, and to outline important management strategies.