Full-size Left-side Hidden
Chapter 32 – Diabetes-associated cataracts

Peter F Kador

Clinical background

Diabetes mellitus (DM) is an expanding major health problem. By the year 2030, it is anticipated that the worldwide incidence of DM will roughly double to 366 million, with 75% of all diabetics residing in developing countries.[1] Diabetic adults 18 years of age and older have a 21% increased prevalence of visual impairment while those 50 years or older have a higher prevalence of vision loss from retinopathy, cataracts, and glaucoma.[2] Cataracts develop earlier and more rapidly in diabetics. According to the Wisconsin Beaver Dam Study, the Australian Blue Mountains Eye Study, the Barbados Eye Study, the French Pathologies Oculaires Liées à l’Age (POLA) Study, and the West African Countries (Ghana and Nigeria) Study, diabetics have up to a fivefold increase in the prevalence of cataracts with cortical and/or posterior subcapsular opacities, with women developing cataracts slightly more than men.[3–5]

It is anticipated that …