Dry Eye Disease And Diabetes Mellitis
Purpose: To find out the frequency of dry eye disease in patients of type II Diabetes Mellitus.Study Design: Cross sectional study.
Place and Duration of Study: Federal Government Services Hospital Islamabad, from January 2015 to May 2016.Material and Methods: Four hundred patients of type II Diabetes, were selected by convenient sampling technique. Patients with any ocular surgery, any systemic disease or medication affecting tear production, pregnancy, and contact lens users were excluded. Clinical data was obtained by direct patient interviews and their medical records. Basic demographics were recorded and a 6-item standardized Dry eye questionnaire (DEQ-6) was administered by a trained researcher to all patients. Detailed eye assessment was performed by a single surgeon under the same physical conditions. DED was assessed using Dry eye workshops DEWS (2007) recommendations.
Results: Participants had mean age of 55.6 ± 10.2 years. There were 61.5% males and 38.5% females. Mean duration of diabetes was 12.02 ± 7.5 years. Frequency of DED in this study was 58%. There were 19.7% patients who had an HbA1c ≥ 9.0%. Oral glucose lowering drugs (OGLDs) were used by 61% of the participants, while 22.5% were on insulin and 16.5% were on both. The most common symptom was burning and the most frequent sign was frothy discharge. TBUT was positive in 43.5% patients. Schirmer test was positive in 33.1% and corneal staining was present in 37% subjects.
Conclusion: Dry eye disease is a common finding in diabetes Mellitus, which increases with the duration of Diabetes.