What does this research mean for the field?

Phacoemulsification cataract surgery does not significantly increase macular edema or central macular thickness in patients with Type II diabetes mellitus up to three months postoperatively. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate changes in central macular thickness and the development of macular edema using optical coherence tomography following uncomplicated phacoemulsification cataract surgery in patients with type 2 diabetes mellitus.

August 31, 2026Eskisehir Medical Journal Eskisehir City Hospital

Effect of Phacoemulsification Surgery on Macular Edema in Patients With Diabetes Mellitus

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Authors

İAİrem Öztürk Aköz DHDicle HazırolanSağlık Bilimleri Üniversitesi NÜNurten ÜnlüMinistry of Health

Discussion

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Implication

Retrospective cohort study finds no significant postoperative increase in macular edema among diabetic patients, suggesting phacoemulsification remains visually beneficial.

Key Points

To evaluate changes in central macular thickness and the development of macular edema using optical coherence tomography following uncomplicated phacoemulsification cataract surgery in patients with type 2 diabetes mellitus.
Retrospective cohort analysis of 50 eyes from 50 patients with type 2 diabetes mellitus undergoing cataract surgery at a single hospital between October 2008 and May 2011, using unoperated contralateral eyes as controls.
Ophthalmologic assessments and optical coherence tomography (OCT) measuring central macular thickness (CMT) were performed preoperatively and at postoperative day 1, week 1, month 1, and month 3.
Best-corrected visual acuity significantly improved from 1.02 ± 0.44 LogMAR preoperatively to 0.22 ± 0.49 LogMAR at postoperative month 3 (p < 0.001).
Central macular thickness in operated eyes shifted from 214.4 ± 64.9 μm preoperatively to 228.9 ± 72.3 μm at month 3, representing a numerical change that was not statistically significant (p > 0.0025).
CMT differed significantly between operated and control eyes at week 1 (232.7 ± 97.2 vs. 199.3 ± 95.6 μm, p = 0.005), month 1 (227.2 ± 80.2 vs. 189.3 ± 74.0 μm, p = 0.003), and month 3 (228.9 ± 72.3 vs. 189.0 ± 75.4 μm, p < 0.001).

Cite This Study

Aköz et al. (2026) studied this question.

synapsesocial.com/papers/6a95427bf20e493292a74da9 https://doi.org/10.48176/esmj.2026.283

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Implication

Retrospective cohort study finds no significant postoperative increase in macular edema among diabetic patients, suggesting phacoemulsification remains visually beneficial.

Effect of Phacoemulsification Surgery on Macular Edema in Patients With Diabetes Mellitus

Discussion

Member takes

Implication

Key Points

Cite This Study

Effect of Phacoemulsification Surgery on Macular Edema in Patients With Diabetes Mellitus

Discussion

Member takes

Implication

Key Points

Cite This Study

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