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3 Correlation of glucose metabolism with cataract 3.1 Association of insulin resistance with cataract Guo (10) found that in patients with diabetic cataract, high levels of fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), and insulin resistance index (HOMA-IR) were negatively correlated with visual acuity, and positively correlated with intraocular pressure (IOP) serum levels of interleukin-6 (IL-6), insulin-like growth factor (IGF-1), and vascular endothelial growth factor (VEGF) levels
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