This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.  Read our Cookies Policy.
Close
Eye News
  • Features
    • Close
    • Features
    • Allied Professions
    • Humanitarian
    • Interviews
    • AI & Oculomics
    • Ophthalmology
    • Optometry
    • Podcast videos
    • Supplements
  • Education
    • Close
    • Education
    • Learning Curve
    • Quiz
    • Top Tips
    • Trainees
    • Medico-Legal
    • The Truth Behind The Headlines
    • Case Reports
    • Pete's Bogus Journey
  • Reviews
    • Close
    • Reviews
    • Book Reviews
    • Journal Reviews
    • What's trending?
    • Tech Reviews
    • My Top Five
    • The Culture Section
  • Events
  • News
  • Product Guide
  • Industry News
  • Contact us
    • Close
    • Contact us
    • Write for Eye News
  • Home
  • Reviews
  • Journal Reviews
  • Intensive diabetes therapy and ocular surgery in type 1 diabetes

Intensive diabetes therapy and ocular surgery in type 1 diabetes
Reviewed by Jonathan C P Roos

1 October 2015 | Jonathan CP Roos | EYE - Vitreo-Retinal

The Diabetes Control and Complications Trial (DCCT) ran between 1983 and 1993 and showed that intensive glycaemic control was beneficial in reducing diabetic retinopathy in type 1 patients. There was a 76% reduction in onset of retinopathy and a 52% reduction in progression. A majority of these patients (1375) were then enrolled on the Epidemiology of Diabetes Interventions and Complications (EDIC) Trial, a follow-on study which showed that the effect of a period of good glycaemic control could still be measured after 18 years in what has been termed ‘metabolic memory’. The authors now report further results from this patient cohort as regards their self-reported need for ocular surgery. Over a median follow-up period of 23 years, the authors report that only 8.9% of the 711 patients in the intensive glycaemic control group had ocular surgery, compared to 13.4% of the 730 assigned to conventional therapy (p<0.001). This included a reduced risk of requiring cataract surgery, vitrectomies and retinal detachment surgery. The study authors concluded that intensive therapy for patients with type 1 diabetes reduces the risk of requiring ocular surgery. However, there was no statistical difference in the need for oculoplastic surgical procedures, glaucoma surgery, enucleation, posterior YAG capsulotomy or cornea related operations. Though this is a high quality randomised cohort study, it does not include patients with type II diabetes and so it is not possible to know whether the results apply also to those patients, though it would seem highly likely, as the beneficial effect of surgery could be fully accounted for by the reduction in HbA1c levels.

Intensive diabetes therapy and ocular surgery in type 1 diabetes.
The DCCT/EDIC Research Group.
NEW ENGLAND JOURNAL OF MEDICINE
2015;372:1722-33.
Share This
Jonathan Roos
CONTRIBUTOR
Jonathan CP Roos

Harvard, Cambridge & Moorfields-trained Consultant Oculoplastic Surgeon and academic based in London at www.FaceRestoration.com. Publishes in the world’s leading medical journals and lectures internationally on aesthetics, eyelid diseases and thyroid eyes.

View Full Profile
Specialty
  • EYE - Cataract
  • EYE - Cornea
  • EYE - General
  • EYE - Glaucoma
  • EYE - Neuro-ophthalmology
  • EYE - Oculoplastic
  • EYE - Oncology
  • EYE - Orbit
  • EYE - Paediatrics
  • EYE - Pathology
  • EYE - Refractive
  • EYE - Strabismus
  • EYE - Vitreo-Retinal
Archive
  • 2025
  • 2024
  • 2023
  • 2022
  • 2021
  • 2020
  • 2019
  • 2018
  • 2017
  • 2016
  • 2015
  • 2014
  • 2013

Top Of Page

9 Gayfield Square, 
Edinburgh EH1 3NT, UK.

Call: +44 (0)131 557 4184
www.pinpoint-scotland.com

WEBSITE DETAILS
  • Cookie Policy
  • Data Protection Notice
  • Privacy Policy
  • Terms and Conditions
ABOUT US
  • Who we are
  • Register
  • Contact us
  • Contributors
  • Company Awards
DIGITAL ISSUES/GUIDELINES
  • Digital issues - Library
  • Supplements - Library
  • Guidelines
Accreditations
IPSO_FLAG_TEAL 2025.png cpdcertified.png

Pinpoint Scotland Ltd (Registered in Scotland No. SC068684) | © 2025 - Website by Gecko Agency