Cataract surgery is often very worthwhile in diabetic eye disease, but blood sugar and retinal status must be optimised first.
Benefits when planned carefully
Clearer media help both vision and retinal care.
- Improved visual acuity when cataracts contribute to blur
- Better view for laser or injections to treat diabetic retinopathy
- Chance to stabilise refraction that fluctuates with cataract and sugar levels
- Possibility of combining surgery with intravitreal therapy if needed
- Enhanced ability to monitor the macula with OCT after surgery
Special diabetic considerations
Good systemic and ocular control reduces risks.
- Aiming for reasonable glucose and blood‑pressure control before surgery
- Treating significant macular oedema or proliferative changes in advance where possible
- Recognising that inflammation and macular swelling risk are slightly higher
- Planning closer follow‑up in the early postoperative period
- Emphasising continued diabetes and retina care even once cataracts are removed
