Cataract Surgery in Patients with Diabetes: Management Strategies

Semin Ophthalmol. 2018;33(1):75-82. doi: 10.1080/08820538.2017.1353817. Epub 2017 Nov 16.


Diabetes is a chronic systemic disease that affects nearly one in eight adults worldwide. Ocular complications, such as cataract, can lead to significant visual impairment. Among the worldwide population, cataract is the leading cause of blindness, and patients with diabetes have an increased incidence of cataracts which mature earlier compared to the rest of the population. Cataract surgery is a common and safe procedure, but can be associated with vision-threatening complications in the diabetic population, such as diabetic macular edema, postoperative macular edema, diabetic retinopathy progression, and posterior capsular opacification. This article is a brief review of diabetic cataract and complications associated with cataract extraction in this population of patients.

Keywords: Cataract; diabetic macular edema; diabetic retinopathy.

Publication types

  • Review

MeSH terms

  • Cataract / epidemiology
  • Cataract / etiology*
  • Cataract Extraction / standards*
  • Diabetes Mellitus, Type 2 / complications*
  • Diabetes Mellitus, Type 2 / epidemiology
  • Disease Management*
  • Disease Progression
  • Humans
  • Practice Guidelines as Topic*
  • Vision, Low* / epidemiology
  • Vision, Low* / etiology
  • Vision, Low* / prevention & control
  • Visual Acuity