Pre-Senile Cataract in Diabetic Patients: Prevalence and Early DiagnosisPatrícia Ioschpe Gus1*, Samira Zelanis2, Diane Marinho2, Ana Laura Kunzler2, Felipe Nicola3, Heitor Folle3 and Helena Pakter4
- *Corresponding Author:
- Patrícia Ioschpe Gus
Hospital de Clínicas de Porto Alegre, Brazil
E-mail: [email protected]
Received date: April 03, 2017; Accepted date: April 17, 2017; Published date: April 22, 2017
Citation: Gus PI, Zelanis S, Marinho D, Kunzler AL, Nicola F, et al. (2017) Pre-Senile Cataract in Diabetic Patients: Prevalence and Early Diagnosis. J Clin Trials 7:307. doi:10.4172/2167-0870.1000307
Copyright: © 2017 Gus PI, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Hypothesis: Since cataract is more prevalent in the diabetic population, the authors compared the findings of the gold standard Lens Opacity Classification System III (LOCSIII) with the Scheimpflug objective measures in a presenile population.
Methods: This was a cross-sectional study of diabetic patients between 50 and 60 years old. Patients answered a questionnaire about clinical conditions, complications, medications in use and demographics, and were submitted to a complete non-dilated and dilated ophthalmological evaluation, including a Scheimpflug lens densitometry (Pentacam Nucleus Staging) and the Lens Opacity Classification System III (LOCSIII) based evaluation. All patients signed an informed consent term.
Results: Eighty-six eyes from 43 patients were enrolled; 96.5% had some degree of cataract, as classified by LOCS III and 46.5% by Pentacam. Most of the patients had corrected visual acuity of 20/20 (74.4%) and 25.6% had corrected visual acuity of 20/40 or worse.
Conclusions: Corrected visual acuity in the majority of patients was normal and they mostly had non-proliferative diabetic retinopathy. LOCS III remains an earlier and less expensive method of cataract diagnosis. Different cataract morphology seems to relate to different systemic complication, although this finding must be confirmed by further studies.