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Bariatric surgery may curb diabetic eye disease incidence but worsen existing retinopathy

Journal
American Journal of Ophthalmology
Reuters Health - 23/01/2021 - Bariatric surgery was associated with fewer cases of diabetic retinopathy (DR), but early worsening was more severe in patients who already had the condition, a systematic review and meta-analysis reveals. "There are heavy debates in literature regarding whether bariatric surgery would be helpful for DR," Dr. Yung Lee of McMaster University in Hamilton, Ontario, told Reuters Health by email. "(We found) that bariatric surgery lowered the risk of all DR by 83% and sight-threatening DR by 53% compared to medical management." That said, he noted, "We were surprised to find that early worsening of diabetic retinopathy occurs, in particular for patients with existing proliferative disease. These findings suggest a need for early vigilant eye exams for patients who undergo bariatric surgery, especially if they already have sight-threatening retinopathy." As reported in the American Journal of Ophthalmology, Dr. Lee and colleagues searc...


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