Effects of extracapsular cataract extraction with posterior chamber lens implantation on the development of neovascular glaucoma in diabetics.

We retrospectively reviewed four cases of extracapsular cataract extraction with implantation of a posterior chamber intraocular lens into diabetics. All four developed postoperative iris rubeosis and neovascular glaucoma; three of the cases had a poor visual outcome. The implant surgeon must show discretion in deciding to implant an intraocular lens in diabetics whether or not they are noninsulin dependent and well controlled, understanding the serious complications that may result from progression of diabetic retinopathy and rubeosis iridis.