Juvenile diabetes eye complications and treatment
Background/Aim. Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia. The aim of this study was to explore the prognosis of patients with juvenile DM regarding diabetic eye complications, as well as the course of the diabetic eye disease related to the treatment undertaken....
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2009-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500909729D.pdf |
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| author | Dujić Mirjana P. Ignjatović Zora |
| author_facet | Dujić Mirjana P. Ignjatović Zora |
| author_sort | Dujić Mirjana P. |
| collection | DOAJ |
| description | Background/Aim. Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia. The aim of this study was to explore the prognosis of patients with juvenile DM regarding diabetic eye complications, as well as the course of the diabetic eye disease related to the treatment undertaken. Methods. The study series involved 33 patients with juvenile DM during the period 1992-2007. The influence of the following factors on the course of the disease was estimated: age, the age of the disease onset, time when eye complications appeared, treatment modalities. Results. Of the total of 33 diabetics 15 patients were followed for 10 or more years and 18 from 5 to 9 years. At the time of their first visit the mean age was 23.12 ± 6.39 and the mean duration of DM was 17.42 ± 7.42 years. On their first visit, 7 eyes were without any complication. Most of the patients already developed clinical signs of proliferative diabetic retinopathy (41.39%), the signs of nonproliferative diabetic retinopathy (13.13%) and macula involvement (10.10%). Diabetic cataract was found in 8.8% as well as tractional retinal detachment. Eleven out of 66 eyes were with vitreous hemorrhage. Two patients (5.5%) suffered neovascular glaucoma. There was 1 (2.2%) patient with developed rubeosis iridis and simplex glaucoma. Panretinal photocoagulation was performed in 65% of patients, focal photocoagulation in 15%, 12% patients underwent pars plana vitrectomy and 4% had cataract surgery with intraocular lens implantation and peripheral retinal kryopexy. Conclusion. Total vision loss due to eye complications of juvenile DM may be prevented if timely diagnosed with regular check ups and early treatment. |
| first_indexed | 2024-12-12T16:53:31Z |
| format | Article |
| id | doaj.art-349d0da4729f4ca0bdb8ee9a457b001a |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-12-12T16:53:31Z |
| publishDate | 2009-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-349d0da4729f4ca0bdb8ee9a457b001a2022-12-22T00:18:17ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502009-01-0166972973210.2298/VSP0909729DJuvenile diabetes eye complications and treatmentDujić Mirjana P.Ignjatović ZoraBackground/Aim. Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia. The aim of this study was to explore the prognosis of patients with juvenile DM regarding diabetic eye complications, as well as the course of the diabetic eye disease related to the treatment undertaken. Methods. The study series involved 33 patients with juvenile DM during the period 1992-2007. The influence of the following factors on the course of the disease was estimated: age, the age of the disease onset, time when eye complications appeared, treatment modalities. Results. Of the total of 33 diabetics 15 patients were followed for 10 or more years and 18 from 5 to 9 years. At the time of their first visit the mean age was 23.12 ± 6.39 and the mean duration of DM was 17.42 ± 7.42 years. On their first visit, 7 eyes were without any complication. Most of the patients already developed clinical signs of proliferative diabetic retinopathy (41.39%), the signs of nonproliferative diabetic retinopathy (13.13%) and macula involvement (10.10%). Diabetic cataract was found in 8.8% as well as tractional retinal detachment. Eleven out of 66 eyes were with vitreous hemorrhage. Two patients (5.5%) suffered neovascular glaucoma. There was 1 (2.2%) patient with developed rubeosis iridis and simplex glaucoma. Panretinal photocoagulation was performed in 65% of patients, focal photocoagulation in 15%, 12% patients underwent pars plana vitrectomy and 4% had cataract surgery with intraocular lens implantation and peripheral retinal kryopexy. Conclusion. Total vision loss due to eye complications of juvenile DM may be prevented if timely diagnosed with regular check ups and early treatment.http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500909729D.pdfdiabetes mellitus, type Idiabetic retinopathytherapeuticslaser coagulationtreatment outcome |
| spellingShingle | Dujić Mirjana P. Ignjatović Zora Juvenile diabetes eye complications and treatment Vojnosanitetski Pregled diabetes mellitus, type I diabetic retinopathy therapeutics laser coagulation treatment outcome |
| title | Juvenile diabetes eye complications and treatment |
| title_full | Juvenile diabetes eye complications and treatment |
| title_fullStr | Juvenile diabetes eye complications and treatment |
| title_full_unstemmed | Juvenile diabetes eye complications and treatment |
| title_short | Juvenile diabetes eye complications and treatment |
| title_sort | juvenile diabetes eye complications and treatment |
| topic | diabetes mellitus, type I diabetic retinopathy therapeutics laser coagulation treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500909729D.pdf |
| work_keys_str_mv | AT dujicmirjanap juvenilediabeteseyecomplicationsandtreatment AT ignjatoviczora juvenilediabeteseyecomplicationsandtreatment |