Outcomes of cataract surgery in eyes with diabetic macular oedema: Data from the Fight Retinal Blindness! Registry.
IMPORTANCE
There are limited data on real-world outcomes of cataract surgery in eyes receiving intravitreal treatments for diabetic macular oedema (DMO).


BACKGROUND
Cataract surgery may exacerbate oedema in some eyes with DMO resulting in inferior outcomes.


DESIGN
Matched, case-controlled retrospective study of observational data in routine clinical practice.


PARTICIPANTS
Eyes receiving intravitreal treatments for DMO tracked in the Fight Retinal Blindness! Registry.


METHODS
Eyes that underwent cataract surgery were identified and matched 1:1 with phakic controls also receiving intravitreal injections for DMO. We also assessed potential factors that were associated with better visual acuity (VA) outcomes.


MAIN OUTCOME MEASURES
Change in VA 6 months after cataract surgery.


RESULTS
Cataract surgery was identified in 208 eyes of 156 patients of which 147 eyes had 6 months of observations before and after surgery. The mean VA 6 months after surgery improved by 10.6 letters and was similar to their matched phakic controls (68.8 vs 69.2 letters; P = 0.8). Mean CST both 6 months before (341 μm) and after (360 μm) surgery were similar (P = 0.08). However, these eyes had thicker maculae and they received more injections than their matched phakic controls both before and after surgery. Eyes with worse VA before surgery and those that had received intravitreal treatment in the 4 weeks preceding surgery were more likely to gain vision.


CONCLUSIONS AND RELEVANCE
Visual outcomes of cataract surgery in eyes receiving intravitreal therapy for DMO were reasonably better. Their maculae were thicker and required more injections in the 6 months before and after surgery than their phakic controls.
['Bhandari|Sanjeeb|S|0000-0002-4110-4274', 'Biechl|Anne C|AC|', 'Nguyen|Vuong|V|0000-0001-9070-9803', 'Squirrell|David|D|', 'Mehta|Hemal|H|', 'Barthelmes|Daniel|D|', 'Gillies|Mark C|MC|']
D020533:Angiogenesis Inhibitors D001766:Blindness D002386:Cataract D003920:Diabetes Mellitus D003930:Diabetic Retinopathy D006801:Humans D058449:Intravitreal Injections D008269:Macular Edema D012042:Registries D012189:Retrospective Studies D016896:Treatment Outcome
cataract surgery diabetic macular oedema real-world outcome vascular endothelial growth factor inhibitor