Sight Threatening Diabetic Retinopathy in Patients with Type 2 Diabetes Undergoing Bariatric Surgery

It is well known that bariatric surgery can result in a significant and sustained weight loss, years of research has demonstrated that it can also lead to complete diabetes remission in obese type two patients who have undergone the surgery.

Several studies have suggested that bariatric surgery is superior to routine and intensive clinical care in patients with diabetes in regards to metabolic control, however the long-term impact of bariatric surgery on microvascular complications especially diabetic retinopathy is unclear.

We do know however that a rapid improvement in glycaemic control is associated with a transient deterioration of diabetic retinopathy, this suggests that diabetic patients undergoing bariatric surgery maybe at risk or worsening diabetic eye disease.

The main aim of the audit was to assess the incidence and progression to sight threatening diabetic retinopathy in obese type two patients who underwent bariatric surgery.

By Helen Wharton