Perioperative management of diabetic cataract patients undergoing aspherical intraocular lens implantation

Objective：To explore the perioperative management strategies of diabetic cataract patients undergoing aspherical intraocular lens (IOL) implantation. Methods：From March 2016 to October 2017, 68 cases (89 eyes) with diagnosis of type 2 diabetes mellitus and cataract were selected. The patients received combined treatment of phacoemulsification and aspherical IOL implantation, with systematic and individualized perioperative management. Levels of blood glucose were monitored and health education was conducted to reduce blood glucose fluctuation. Visual function was evaluated by LogMAR visual acuity and VF-12 index before and after the operation. Results：The surgery was successfully performed in all of the 89 eyes. The levels of perioperative blood glucose was significantly decreased and more stable compared with that before the operation (P<0.001). There was a significant increase in the visual acuity after the operation than that before the operation (P<0.001). There was a significant difference in VF-12 scores before and after the operation (22.04±6.31 vs 5.34±2.27, respectively, P<0.001). Conclusions：Systematic and individualized perioperative care is effective in the perioperative blood glucose control for diabetic cataract patients undergoing aspherical (IOL) implantation, and is beneficial to the postoperative visual function recovery.