Evidence map›Paper›PMID 42707667›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2026

Are Visual Outcomes After Cataract Surgery Different in Diabetic Patients Compared with Non-Diabetic Patients?: A Retrospective Study in a Tertiary Hospital in Saudi Arabia.

Naif Alruwais, Shahad F Altayash, Rizwan Malik, Syed J Raheman

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Article in Clinical ophthalmology (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Naif AlruwaisDepartment of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.ORCID 0009-0009-5427-9434
Shahad F AltayashDepartment of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Rizwan MalikDepartment of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Syed J RahemanDepartment of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cataract surgery is a common procedure that dramatically improves visual clarity. The outcomes for patients with diabetes can be sensitive to various health conditions such as diabetic retinopathy and macular edema. This investigation set out to evaluate and compare post-cataract surgery visual acuity outcomes between diabetic and non-diabetic controls and to evaluate relevant structural and surgical parameters. Methods: This retrospective observational study was conducted at King Khaled Eye Specialist Hospital (KKESH), where 200 eyes (100 diabetic patients and 100 non-diabetic patients) who were treated with phacoemulsification during October and November 2025 were included. Best-corrected visual acuity (BCVA), central macular thickness (CMT), macular edema and surgical results were examined in the analysis. Results: No statistically significant differences in postoperative BCVA were observed between diabetic and non-diabetic patients at one month (0.56 ± 0.39 vs 0.51 ± 0.42 logMAR, p = 0.338) or at final follow-up (0.44 ± 0.41 vs 0.43 ± 0.44 logMAR, p = 0.698). However, diabetic patients demonstrated significantly higher rates of postoperative macular edema (19.0% vs 6.0%, p = 0.005) and greater CMT values (289.17 ± 142.37 µm vs 253.81 ± 67.92 µm, p = 0.026). Progression of diabetic retinopathy was observed in 4% of diabetic eyes during follow-up. No statistically significant association was identified between surgeon experience level and postoperative visual outcomes or complication rates. Conclusion: Although visual acuity outcomes after cataract surgery are similar in diabetic and non-diabetic patients, those with diabetes show a greater prevalence of macular structural changes. It is recommended to conduct thorough preoperative evaluations and postoperative monitoring for macular complications in diabetic patients.

Indexed as

cataract surgerydiabetes mellitusdiabetic retinopathymacular edemavisual acuity outcomes

Identifiers

PMID42707667
PMCPMC13549177

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