What protocols do colleagues follow when contemplating cataract surgery or refractive in surgery whose diabetes was recently diagnosed and/or poorly controlled ?
controlling or management of diabetics patient need proper controlling of FBS and checking of HbA1c. After that, more important thing is management of diabetic complication in the eye dependent the severity and complicated tissues second to diabetic disease. for example cataract extraction or diabetic retinopathy and so.
I don't prefer to treat without diabetes regulation. I think that such patients should be hospitalized until their glucose level get better (also HbA1c) .
Those diabetic patients poorly controlled must have a glucose level roughly normal before the cataract or refractive surgery. Those diabetic patients recently diagnosed must also have a restrict follow-up for 2 to 3 months before the cataract or refractive surgery.
controlling blood glucose of diabetic patients is of graet importance before refractive surgery because uncontrolled blood glucose will result in flalctuation of refractive errors.
it is more important to strictly follow up diabetic patient after cataract surgery for possible rapid progression of diabetic retinopathy