Dry Eye in Diabetes Mellitus and Its Relationship with Diabetic Retinopathy
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Introduction: Diabetes is quickly emerging as biggest health related Catastrophes the world has ever witnessed. It is often associated with several significant ocular conditions such as diabetic retinopathy, refractive changes, cataract, glaucoma and macular oedema, however one of the most common yet least studied ocular complication associated with Diabetes is Dry Eye and it’s management varies with severity and etiology of Dry Eye. Materials & Methods: A cross sectional observational study done on 100 Patients with adult onset Diabetes Mellitus visiting Ophthalmology, Out Patient Department in National Institute of Medical Sciences & Research and Hospital, Jaipur. Detailed ocular and diabetic history recorded and clinical examination with slit-lamp for anterior segment was done. Schirmer’s test (SchT), tear breakup time (TBUT), and tear meniscus height (TMH) test were performed, and results noted. Results: In this study, 100 diabetic patients participated, of which 20 were Type I and 80 were Type II DM. Dry eye prevalence was maximum in patients who were 50 years of age (53.6%) and above. It was more common in females (60.9%) compared to males (39.1%). SchT showed 15% and 82.5% of Type I and Type II diabetics had dry eye. The TBUT was found to be ≤10 s in 65% of Type II DM. 49% of Type II diabetics had thin TMH. Moderate non-proliferative diabetic retinopathy (NPDR) (33%) was significantly more common in diabetic patients with dry eyes. There were no patients with very severe NPDR. A statistically significant (P ≤ 0.001) association was found between diabetic retinopathy and dry eye. Conclusion: We concluded that significant correlation was found between dry eye and diabetic retinopathy. Hence, examination of dry eye should be integral part of assessment of diabetic disease as early detection will help to prevent further progression.
Authors and Affiliations
Shamsher Singh, Kavita Bhatnagar, Mahesh Agarwal
Keywords
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- EP ID EP536943
- DOI 10.21276/ijmrp.2018.4.5.036
- Views 52
- Downloads 0
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