Short-Term Impact of Bariatric Surgery on Best-Corrected Distance Visual Acuity and Diabetic Retinopathy Progression

Obesity Surgery
Patrick RichardsonIskandar Idris

Abstract

The immediate impact of rapid glucose lowering induced by bariatric surgery on diabetic retinopathy (DR) progression remains unclear. We present 3-year changes in the best-corrected visual acuity and DR grade in a retrospective observational study of 32 morbidly obese patients (64 eyes) who underwent Roux-en-Y-gastric bypass surgery. We found that despite overall benefits in vision, there was an initial progression from no retinopathy to background retinopathy in 18.9% and 21.7% at years 1 and 2 respectively. Patients with pre-proliferative DR at baseline were at increased risk of developing sight-threatening DR. We recommend that patients with diabetes undergoing bariatric surgery have a baseline visual acuity, macular optical coherent tomography and diabetic retinopathy grading from wide-field digital imaging to identify those at risk of sight-threatening diabetic retinopathy.

References

May 5, 2007·Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association·M D DavisF L Ferris
Mar 11, 2009·The American Journal of Medicine·Henry BuchwaldIsabella Sledge
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Nov 28, 2017·Diabetes, Obesity & Metabolism·Tina VilsbøllMichael Larsen
Dec 9, 2017·Diabetes & Metabolism·S Feldman-BillardUNKNOWN Standards for screeningand surveillance of ocular complications in people with diabetes SFD study group

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Citations

May 1, 2021·International Journal of Molecular Sciences·Enrique Antonio Alfonso-MuñozCarmen Desco
Aug 28, 2021·Journal of Clinical Medicine·Ana Maria DascaluCatalin Gabriel Smarandache

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