[Specific aspects in diabetic cataract]

Cataract in diabetic patients is a major cause of blindness in developed and developing countries. The pathogenesis of diabetic cataract development is still not fully understood. Recent basic research studies have emphasized the role of the polyol pathway in the initiation of the disease process. Population-based studies have greatly increased our knowledge concerning the association between diabetes and cataract formation and have defined risk factors for the development of cataract. Prevention of eye complications by removing metabolic risk factors and good control of the disease is the most efficient step, because no effective treatments in the absence of optimal glycemic control through diet and medication. Diabetic cataract is a condition that benefits from surgery with good functional recovery. This recovery depends on the detection and treatment of diabetic retinopathy with photocoagulation correct laser.