Two papers in the current issue, one from Pollack, Dotan, and Oliver of Israel and the other from Cunliffe and colleagues of Cambridge, deal with the effects of cataract surgery on diabetic retinopathy and its complications. All ophthalmologists are aware that there are possible extra hazards when cataract extraction has to be done in the presence of diabetic retinopathy, but in view of the fac...

Background: Anesthesia is performed in two major methods including regional and general.The aim of this study was to compare the effect of anesthesia method (spinal and general) on oxidative stress indiabetic patients underwent diabetic amputation surgery.Methods: In this randomized control trial, 40 patients with diabetic foot who were candidate for foot amputationsurgery at our academic hospi...

Background: Carpal tunnel syndrome (CTS) is a compression neuropathy that causes paresthesia, pain or numbness in the territory of median nerve. The aim of this study is to compare the open surgery outcome and patients` satisfaction in carpal tunnel syndrome among diabetic and non-diabetic patients. Methods: In a retrospective cohort study from April 2011 to June 2012, patients suffered from ca...

BACKGROUND The purpose of this study was to examine neodymium:yttrium-aluminum garnet (Nd:YAG) capsulotomy rates after combined cataract surgery with implantation of a three-piece 4% water content hydrophobic acrylic intraocular lens (X-70, Eternity®) and vitrectomy, and compare diabetic retinopathy with nondiabetic retinopathy. METHODS Nd:YAG capsulotomy rates were evaluated for 72 eyes of 7...

mucormycosis is an invasive fungal infection caused by filamentous fungi of the mucoraceae family. the genera most commonly responsible are mucor or rhizopus. the disease occurs mostly in association with diabetic ketoacidosis. mucormycosis has an extremely high death rate even when aggressive surgery is done. death rates range from 25-85% depending on the body area involved.a case of rhinocere...

PURPOSE To report a case of diabetic macular edema with prominent chorioretinal folds. CASE REPORT This study involved a 55-year-old male with untreated bilateral diabetic retinopathy who had undergone cataract surgery at another clinic. Following that surgery, diabetic macular edema rapidly exacerbated, accentuating marked cystoid macular edema and radial chorioretinal folds in the macula. I...

Aims. Preoperative diabetic and glycemic screening may or may not be cost effective. Although hyperglycemia is known to compromise surgical outcomes, the effect of a diabetic diagnosis on outcomes is poorly known. We examine the effect of diabetes on outcomes for general and vascular surgery patients. Methods. Data were collected from the Michigan Surgical Quality Collaborative for general or v...

BACKGROUND Surgical trauma causes stress and inflammatory reactions with elevated serum free fatty acids (FFA) and glucose levels characteristic of intraoperative insulin resistance. Our aim was to compare microdialysis findings with those using the classical organ balance technique and to test the clinical feasibility of microdialysis during cardiac surgery. METHODS Nine diabetic and nine no...

CONTEXT The impairment of insulin sensitivity, a marker of surgical stress, is important for outcomes. OBJECTIVE The aim was to assess the association between the quality of preoperative glycemic control, intraoperative insulin sensitivity, and adverse events after cardiac surgery. DESIGN AND SETTING We conducted a prospective cohort study at a tertiary care hospital. SUBJECTS Nondiabetic...

Surgery in the patient with diabetes mellitus is relatively common, as the numbers of persons with diabetes is increasing and diabetes predisposes to medical conditions that require surgical intervention. An estimated 25% of diabetic patients will require surgery, and advances in perioperative care of these patients allow them to safely undergo the most complicated surgical procedures. We will ...