Diabetes and Cataract Types in Libyan Patients: A Comparative Analysis

Authors

DOI:

https://doi.org/10.69667/lmj.2517212

Keywords:

Senile Cataract, Diabetic Retinopathy, Albayda, Libya

Abstract

Senile Cataract is still one of the biggest causes of preventable blindness despite technological development in diagnosis and surgical procedures of cataract, and it is influenced by systemic diseases such as DM type 2. The present study aimed to assess the association of demographic characteristics & types of senile cataract among type 2 diabetic Libyan individuals & non-diabetics about diabetes status in Albayda, Libya. This cross-sectional, comparative, hospital-based study was carried out at the ophthalmology department, Albayda Medical Center, Al-Bayda city, Libya, from January 2024 to December 2024. 344 patients were scheduled for cataract surgery, full ocular examination done for all patients including (best corrected visual acuity (BCVA). Intraocular pressure (IOP), slit lamp examination& fundus examination). Data was analyzed using SPSS 20, and was presented as frequencies & percentages. The P-values < 0.05 were considered significant. Mixed cataracts were the most common type in both diabetic (79%) and non-diabetic (77.1%) patients; the association between cataract morphology and DR stages was not statistically significant. A significant gender difference was observed, with female predominance among diabetic cataract patients (63.3%, P < 0.05), while age distribution was similar across groups. This study demonstrated that diabetic patients, particularly women, represented a significant prevalence of mixed cataracts regardless of diabetic status. These results underscore the need for earlier eye screening in the Albayda population, particularly for diabetic females, and longitudinal studies to better identify diabetes-associated cataract progression

References

World Health Organization, Regional Office for the Eastern Mediterranean. Cataract [Internet]. Cairo: WHO EMRO; [cited 2025 Apr 1]. Available from: https://www.emro.who.int/health-topics/cataract/.

Hashemi H, Pakzad R, Yekta A, Aghamirsalim M, Pakbin M, Ramin S, Khabazkhoob M. Global and regional prevalence of age-related cataract: a comprehensive systematic review and meta-analysis. Eye (Lond). 2020 Aug;34(8):1357-1370. doi: 10.1038/s41433-020-0806-3. Epub 2020 Feb 13. PMID: 32055021; PMCID: PMC7376226.

Mrugacz M, Pony-Uram M, Bryl A, Zorena K. Current Approach to the Pathogenesis of Diabetic Cataracts. Int J Mol Sci. 2023 Mar 28;24(7):6317. doi: 10.3390/ijms24076317. PMID: 37047290; PMCID: PMC10094546.

World Health Organization. Prevention of blindness and visual impairment [Internet]. Geneva: WHO; [cited 2025 Apr 1]. Available from: http://www.who.int/blindness/causes/en.

Fang R, Yu YF, Li EJ, Lv NX, Liu ZC, Zhou HG, Song XD. Global, regional, national burden and gender disparity of cataract: findings from the global burden of disease study 2019. BMC Public Health. 2022 Nov 12;22(1):2068. doi: 10.1186/s12889-022-14491-0. PMID: 36369026; PMCID: PMC9652134.

Marques AP, Ramke J, Cairns J, Butt T, Zhang JH, Muirhead D,et al. Global economic productivity losses from vision impairment and blindness. EClinicalMedicine. 2021 Apr 26;35:100852. doi: 10.1016/j.eclinm.2021.100852. PMID: 33997744; PMCID: PMC8093883.

Memon AF, Mahar PS, Memon MS, Mumtaz SN, Shaikh SA, Fahim MF. Age-related cataract and its types in patients with and without type 2 diabetes mellitus: A Hospital-based comparative study. J Pak Med Assoc. 2016 Oct;66(10):1272-1276. PMID: 27686302.

International Diabetes Federation. Libya [Internet]. Brussels: IDF; [cited 2025 Apr 5]. Available from: https://idf.org/our-network/regions-and-members/middle-east-and-north-africa/members/libya.

Atair A, Mohamed M, Magid N, Aeteer M. The prevalence of prediabetes phase and associated risk factors in a sample of the non-diabetic population in Al-Bayda City, Libya: a cross-sectional study. Alq J Med App Sci. 2022;5(2):338–345. doi:10.5281/zenodo.6740483.

Ivanescu A, Popescu S, Gaita L, Albai O, Braha A, Timar R. Risk Factors for Cataracts in Patients with Diabetes Mellitus. J Clin Med. 2024 Nov 21;13(23):7005. doi: 10.3390/jcm13237005. PMID: 39685467; PMCID: PMC11641940.

Alabdulwahhab KM. Senile Cataract in Patients with Diabetes with and Without Diabetic Retinopathy: A Community-Based Comparative Study. J Epidemiol Glob Health. 2022 Mar;12(1):56-63. doi: 10.1007/s44197-021-00020-6. Epub 2021 Dec 7. PMID: 34874549; PMCID: PMC8907352.

Kiziltoprak H, Tekin K, Inanc M, Goker YS. Cataract in diabetes mellitus. World J Diabetes. 2019 Mar 15;10(3):140-153. doi: 10.4239/wjd.v10.i3.140. PMID: 30891150; PMCID: PMC6422859.

Ibrahim HM, Khalil EA. Prevalence and risk factors of diabetic cataract among type 2 diabetic patients: a cross-sectional study. Int J Curr Res Rev. 2023;15(15):12-18. doi:10.31782/IJCRR.2023.15152.

Javadi MA, Zarei-Ghanavati S. Cataracts in diabetic patients: a review article. J Ophthalmic Vis Res. 2008 Jan;3(1):52-65. PMID: 23479523; PMCID: PMC3589218.

Becker C, Schneider C, Aballéa S, Bailey C, Bourne R, Jick S, Meier C. Cataract in patients with diabetes mellitus-incidence rates in the UK and risk factors. Eye (Lond). 2018 Jun;32(6):1028-1035. doi: 10.1038/s41433-017-0003-1. Epub 2018 Feb 1. PMID: 29386666; PMCID: PMC5997651.

AL-Mansori A, Elzlitni N. Cataract prevalence and risk factors among type 2 diabetics in Derna Teaching Hospital. Alq J Med App Sci. 2024;7(4):1298–1303. doi:10.54361/ajmas.247456.

Roaeid RB, Kadiki OA. Prevalence of long-term complications among type 2 diabetic patients in Benghazi, Libya. J Diabetol. 2011 Sep 1;2(3):3.

Congdon NG, Friedman DS, Lietman T. Important causes of visual impairment in the world today. JAMA. 2003 Oct 15;290(15):2057-60. doi: 10.1001/jama.290.15.2057. PMID: 14559961.

Nemet AY, Vinker S, Levartovsky S, Kaiserman I. (2010). Is cataract associated with diabetes? Eur J Ophthalmol, 20(5):754–7.

Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet. 2005 Feb 12-18;365(9459):599-609. doi: 10.1016/S0140-6736(05)17911-2. PMID: 15708105.

Memon AF, Mahar PS, Memon MS, Mumtaz SN, Shaikh SA, Fahim MF. Age-related cataract and its types in patients with and without type 2 diabetes mellitus: A Hospital-based comparative study. J Pak Med Assoc. 2016 Oct;66(10):1272-1276. PMID: 27686302.

Pollreisz A, Schmidt-Erfurth U. Diabetic cataract-pathogenesis, epidemiology and treatment. J Ophthalmol. 2010;2010:608751. doi: 10.1155/2010/608751. Epub 2010 Jun 17. PMID: 20634936; PMCID: PMC2903955.

Downloads

Published

2025-05-10

How to Cite

Bahjah Esehiyb, Hagar Ahmed, Hawwa Aboubakr, & Hebah Jibreel. (2025). Diabetes and Cataract Types in Libyan Patients: A Comparative Analysis. Libyan Medical Journal, 200–204. https://doi.org/10.69667/lmj.2517212

Issue

Section

Articles