Investigation of ocular surface changes in patients with type 2 Diabetes Mellitus

Emin Serbülent Güçlü; Ömer Özer; Emrah Mat

Makale detayları

Investigation of ocular surface changes in patients with type 2 Diabetes Mellitus

Yazarlar:

Emin Serbülent Güçlü | Ömer Özer | Emrah Mat

Yayıncı:

Mersin University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 3, pp.398-405

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001304712

pISSN:

1308-0830

Anahtar kelimeler:

Özet:

 Aim: To determine ocular surface changes in patients with type 2 diabetes mellitus with and without diabetic retinopathy, to investigate the relationship between them and to compare the findings with healthy controls. Method: The study included 49 patients with diabetic retinopathy group 1 and 49 patients with diabetes mellitus without diabetic retinopathy group 2. The results were compared with healthy controls group 3 with similar age and gender distribution. Results: Schirmers test result of patients in group 1 was 9.33  3.6 mm, tear breakup time was 7.272.24 s, OSDI score was 34.116.7 and 23 46.9 patients had corneal staining. The Schirmers test result of patients in group 2 was 13.06  3.15 mm, tear breakup time was 10.6  1.95 s, OSDI score was 19.08  5.5 and 8 16.3 patients had corneal staining. The Schirmers test result of the patients in group 3 was 21.54.88 mm, tear breakup time was 13.11.27 s, and OSDI score was 6.211.3. When the values of the patients in all three groups were compared, Schirmers test, tear breakup times and OSDI scores were found to be statistically significant p0.001 for all parameters. Conclusion: According to our study, dry eye disease and diabetic retinopathy were associated. Ocular involvement due to diabetes mellitus may not only include retinal pathologies but also affect anterior segment structures. Therefore, ocular surface examination can be considered an essential component of the evaluation of diabetic eye disease.

 Aim: To determine ocular surface changes in patients with type 2 diabetes mellitus with and without diabetic retinopathy, to investigate the relationship between them and to compare the findings with healthy controls. Method: The study included 49 patients with diabetic retinopathy group 1 and 49 patients with diabetes mellitus without diabetic retinopathy group 2. The results were compared with healthy controls group 3 with similar age and gender distribution. Results: Schirmers test result of patients in group 1 was 9.33  3.6 mm, tear breakup time was 7.272.24 s, OSDI score was 34.116.7 and 23 46.9 patients had corneal staining. The Schirmers test result of patients in group 2 was 13.06  3.15 mm, tear breakup time was 10.6  1.95 s, OSDI score was 19.08  5.5 and 8 16.3 patients had corneal staining. The Schirmers test result of the patients in group 3 was 21.54.88 mm, tear breakup time was 13.11.27 s, and OSDI score was 6.211.3. When the values of the patients in all three groups were compared, Schirmers test, tear breakup times and OSDI scores were found to be statistically significant p0.001 for all parameters. Conclusion: According to our study, dry eye disease and diabetic retinopathy were associated. Ocular involvement due to diabetes mellitus may not only include retinal pathologies but also affect anterior segment structures. Therefore, ocular surface examination can be considered an essential component of the evaluation of diabetic eye disease.

 Aim: To determine ocular surface changes in patients with type 2 diabetes mellitus with and without diabetic retinopathy, to investigate the relationship between them and to compare the findings with healthy controls. Method: The study included 49 patients with diabetic retinopathy group 1 and 49 patients with diabetes mellitus without diabetic retinopathy group 2. The results were compared with healthy controls group 3 with similar age and gender distribution. Results: Schirmers test result of patients in group 1 was 9.33  3.6 mm, tear breakup time was 7.272.24 s, OSDI score was 34.116.7 and 23 46.9 patients had corneal staining. The Schirmers test result of patients in group 2 was 13.06  3.15 mm, tear breakup time was 10.6  1.95 s, OSDI score was 19.08  5.5 and 8 16.3 patients had corneal staining. The Schirmers test result of the patients in group 3 was 21.54.88 mm, tear breakup time was 13.11.27 s, and OSDI score was 6.211.3. When the values of the patients in all three groups were compared, Schirmers test, tear breakup times and OSDI scores were found to be statistically significant p0.001 for all parameters. Conclusion: According to our study, dry eye disease and diabetic retinopathy were associated. Ocular involvement due to diabetes mellitus may not only include retinal pathologies but also affect anterior segment structures. Therefore, ocular surface examination can be considered an essential component of the evaluation of diabetic eye disease.

 Amaç: Diyabetik retinopatisi olan ve olmayan tip 2 diabetes mellitus hastalarında oküler yüzey değişikliklerini saptamak, aralarındaki ilişkiyi araştırmak ve bulguları sağlıklı kontrollerle karşılaştırmaktır. Yöntem: Çalışmaya diyabetik retinopatisi olan 49 hasta grup 1 ve diyabetes mellituslu olup diyabetik retinopatisi olmayan 49 hasta grup 2 dahil edildi. Sonuçlar benzer yaş ve cinsiyet dağılımına sahip sağlıklı kontrollerle grup 3 karşılaştırıldı. Bulgular: Grup 1deki hastaların Schirmer testi sonucu 9.333.6 mm, gözyaşı kırılma süresi 7.272.24 sn, OYHİ skoru 34.116.7 idi ve 23 46.9 hastada korneal boyanma vardı. Grup 2deki hastaların Schirmer testi sonucu 13.063.15 mm, gözyaşı kırılma süresi 10.61.95 sn, OYHİ skoru 19.085.5 ve 8 16.3 hastada korneal boyanma vardır. Grup 3deki kişilerin Schirmer testi sonucu 21.54.88 mm, gözyaşı kırılma süresi 13.11.27 sn, OYHİ skoru 6.211.3tür. Her üç gruptaki hastaların değerleri karşılaştırıldığında, Schirmer testi, gözyaşı kırılma süreleri ve OYHİ skorları istatistiksel olarak anlamlı bulundu p0.001, tüm parametreler için. Sonuç: Çalışmamıza göre, kuru göz hastalığı ve diyabetik retinopati bir birliktelik göstermektedir. Diyabetes mellitusa bağlı oküler tutulum yalnızca retinal patolojileri içermeyip aynı zamanda ön segment yapılarını da etkileyebilir. Dolayısıyla oküler yüzey muayenesi diyabetik göz hastalığının değerlendirilmesinin önemli bir parçası olduğu düşünülebilir.

Makale detayları

Investigation of ocular surface changes in patients with type 2 Diabetes Mellitus

Yazarlar:

Emin Serbülent Güçlü | Ömer Özer | Emrah Mat

Yayıncı:

Mersin University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 3, pp.398-405

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001304712

pISSN:

1308-0830

Diabetes Mellitus

dry eye

ocular surface

tear filmDiabetes Mellitus

gözyaşı filmi

kuru göz

oküler yüzey

Sayı

Makale detayları

Yazarlar: Emin Serbülent Güçlü | Ömer Özer | Emrah Mat

Yayıncı: Mersin University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 3, pp.398-405

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001304712

pISSN: 1308-0830

Sayı

Yazarlar:

Emin Serbülent Güçlü | Ömer Özer | Emrah Mat

Yayıncı:

Mersin University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Mersin Üniversitesi Sağlık Bilimleri Dergisi Vol.16 Issue 3, pp.398-405

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001304712

pISSN:

1308-0830