[Clinico-prognostic criteria for the selection of diabetes mellitus patients for the intraocular correction of aphakia].

The level of glycosylated blood hemoglobin (HbA1c) as a clinical and prognostic criterion for selecting diabetics for implantation of intraocular lens (IOL) is assessed. Extracapsular cataract extraction with intraocular correction was carried out in 68 patients with noninsulin-dependent diabetes mellitus. Preoperative level of HbA1c in group 1 (n = 36) was no more than 8%, and in group 2 (n = 32) it was at least 8%. Both groups were treated similarly. The immediate and late functional results of cataract extraction with IOL implantation were decisively better in group 1 with HbA1c level under 8%, that is, with compensated diabetes. Thus, the level of HbA1c is an accurate and objective clinical and prognostic criterion for selecting patients with diabetes for IOL implantation with good and stable functional results and for precluding unjustified operations.