{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T20:45:18Z","timestamp":1768941918650,"version":"3.49.0"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>To compare corneal biomechanical changes after uneventful phacoemulsification cataract surgery between type 2 diabetic (DM) and nondiabetic patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Forty-four diabetic (44 eyes) and 44 (44 eyes) age and sex-matched non-DM controls with age-related cataract were enrolled in this prospective observational study. Corneal hysteresis (CH), corneal resistance factor (CRF), and corneal-compensated intraocular pressure (IOPcc) were evaluated by using the ocular response analyzer; central corneal thickness was recorded by using the Pentacam HR. Patients were evaluated preoperatively and 1 and 6 months after surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>In the DM group, CH was observed to be significantly lower than preoperative value (9.8 \u00b1 1.5 mm Hg) at 1 month (9.4 \u00b1 1.2 mm Hg, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.040), but not at the 6-month follow-up (9.6 \u00b1 1.6 mm Hg, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.437),whereas it did not change significantly in the non-DM group (preoperative 9.8 \u00b1 1.3 mm Hg vs. 1 month 9.6 \u00b1 1.1 mm Hg vs. 6 months 10.1 \u00b1 1.1 mm Hg, <jats:italic toggle=\"yes\">P<\/jats:italic> &gt; 0.05). CRF was significantly lower than the preoperative values at 1 and 6 months in both groups (<jats:italic toggle=\"yes\">P<\/jats:italic> \u2264 0.001). Postoperative CH change was significantly associated with preoperative CH (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), preoperative IOPcc (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.004), and IOPcc change (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), whereas CRF change was only correlated with preoperative CRF (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). There was a significant postoperative IOPcc reduction 6 months after surgery (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001) in both DM and non-DM groups; however, central corneal thickness was not found to significantly change in the postoperative period (<jats:italic toggle=\"yes\">P<\/jats:italic> &gt; 0.05).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>This study showed that phacoemulsification causes a significant and persistent decrease in intraocular pressure and CRF in both groups, whereas CH recovered to preoperative values, although more slowly in patients with diabetes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ico.0000000000002332","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T05:10:39Z","timestamp":1587013839000},"page":"1073-1079","source":"Crossref","is-referenced-by-count":4,"title":["Corneal Biomechanical Changes After Uneventful Phacoemulsification in Patients With Type 2 Diabetes Mellitus and Patients Without Diabetes"],"prefix":"10.1097","volume":"39","author":[{"given":"Jo\u00e3o N.","family":"Beato","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, S\u00e3o Jo\u00e3o Hospital, Porto, Portugal;"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal; and"}]},{"given":"Jo\u00e3o","family":"Esteves-Leandro","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, S\u00e3o Jo\u00e3o Hospital, Porto, Portugal;"}]},{"given":"David","family":"Reis","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Porto, Porto, Portugal."}]},{"given":"Manuel","family":"Falc\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, S\u00e3o Jo\u00e3o Hospital, Porto, Portugal;"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal; and"}]},{"given":"V\u00edtor","family":"Rosas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, S\u00e3o Jo\u00e3o Hospital, Porto, Portugal;"}]},{"given":"\u00c2ngela","family":"Carneiro","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, S\u00e3o Jo\u00e3o Hospital, Porto, Portugal;"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal; and"}]},{"given":"Fernando","family":"Falc\u00e3o Reis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, S\u00e3o Jo\u00e3o Hospital, Porto, Portugal;"},{"name":"Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal; and"}]}],"member":"276","published-online":{"date-parts":[[2020,4,13]]},"reference":[{"key":"R1-20230912","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1016\/j.jcrs.2014.03.021","article-title":"In vivo characterization of corneal 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