Delhi Journal of Ophthalmology

A Correlation of Glycemic Index and Macular Thickness After Phacoemulsification in Diabetics

Rajni Sethia1, Parin K Mehta1, Raghunandan Kothari1, Vivan Desai2, Avani Soni1
1Dept. of Ophthalmology, Smt. B.K. Shah Medical Institute and Research Centre, Waghodia, Gujarat, India;
2Diva Eye Institute, Ahmedabad, Gujarat, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Parin Mehta MBBSResident,
Smt B.K. Shah Medical InstituteAnd Research Centre,
SumandeepVidyapeeth, Piparia, Waghodia,
Vadodara - 391760, India
Email id: parinmehta23@gmail.com


Received: 04-JAN-2019 Accepted: 19-FEB-2019 Published Online: 10-MAY-2019
DOI: https://dx.doi.org/10.7869/djo.440

AbstractPurpose: To study the relationship between HbA1c and macular thickness using Optical coherence tomography (OCT).
Methods: Prospective cohort study where 50 eyes of type 2 Diabetes mellitus patients with mild to moderate Non-Proliferative Diabetic Retinopathy (NPDR) were included. They underwent uncomplicated phacoemulsification surgery and were divided into 3 groups based on HbA1c levels – Group 1: <6.5%, Group 2: 6.5% – 8% and group 3: >8%. Nine macular subfields as defined by Early Treatment of Diabetic Retinopathy study (ETDRS) were measured using OCT. The HbA1c level of each patient was measured and compared with the macular thickness as well as visual acuity.
Result: No correlation of HbA1c level and central foveal thickness was found in our study (p=0.554). The change in visual acuity also had no correlation with HbA1c (p>0.05). There was a significant increase in central foveal thickness at 1 month postoperatively, irrespective of HbA1c level (p=0.002,p=0.001, p=0.005).
Conclusion: HbA1c has no impact on central foveal thickness or BCVA. Diabetics undergoing phacoemulsification show a change in central foveal thickness post operative but that may not necessarily be due to uncontrolled diabetes.

Keywords :OCT, Diabetics, HbA1c, Phacoemulsification