Effects of oral antidiabetic drugs and insulin treatment on ocular surface

AIM: To describe and compare ocular surface changes in type 2 diabetes patients treated either oral antidiabetic drugs(OAD)or insulin. <p>METHODS: Forty eyes of twenty patients treated with OAD, 40 eyes of 20 patients treated with insulin and 10 non-diabetic controls seen at the Ministry of He...

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Main Authors: Burçin Köklü Çakır, Yasemin Aslan Katırcıo(ˇoverg)lu, Nurten Ünlü, Hüseyin Üstün, Remzi Kasım, Sunay Duman
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2013-09-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://www.ies.net.cn/cn_publish/2013/9/201309002.pdf
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author Burçin Köklü Çakır
Yasemin Aslan Katırcıo(ˇoverg)lu
Nurten Ünlü
Hüseyin Üstün
Remzi Kasım
Sunay Duman
author_facet Burçin Köklü Çakır
Yasemin Aslan Katırcıo(ˇoverg)lu
Nurten Ünlü
Hüseyin Üstün
Remzi Kasım
Sunay Duman
author_sort Burçin Köklü Çakır
collection DOAJ
description AIM: To describe and compare ocular surface changes in type 2 diabetes patients treated either oral antidiabetic drugs(OAD)or insulin. <p>METHODS: Forty eyes of twenty patients treated with OAD, 40 eyes of 20 patients treated with insulin and 10 non-diabetic controls seen at the Ministry of Health Ankara Educational and Research Hospital were studied. All subjects underwent routine ophthalmic examinations, Schirmer test, tear film break-up time analysis and conjunctival impression cytology analysis. Patients in three groups were compared for tear function parameters, goblet cell density and squamous metaplasia grade. The relation between status of retinopathy and ocular surface disorders were noted. <p>RESULTS: The tear film break-up time values were significantly lower at patients treated with OAD(<i>P</i><0.05). Goblet cell density and squamous metaplasia grade were similar at all groups. The median grade was grade 1 in which epithelial cells are slightly larger, more polygonal, have eosinophilic staining cytoplasm and goblet cells are decreased in number. Status of retinopathy did not seem to relate with ocular surface disorders. <p>CONCLUSION: Precorneal tear film stability is found to be worse in patients treated with OAD whereas impression cytology analysis is similar in all groups.
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spelling doaj.art-8970f5c532b54dee8624e6aea510dac12022-12-21T19:27:07ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232013-09-011391747175010.3980/j.issn.1672-5123.2013.09.02Effects of oral antidiabetic drugs and insulin treatment on ocular surfaceBurçin Köklü ÇakırYasemin Aslan Katırcıo(ˇoverg)luNurten ÜnlüHüseyin ÜstünRemzi KasımSunay DumanAIM: To describe and compare ocular surface changes in type 2 diabetes patients treated either oral antidiabetic drugs(OAD)or insulin. <p>METHODS: Forty eyes of twenty patients treated with OAD, 40 eyes of 20 patients treated with insulin and 10 non-diabetic controls seen at the Ministry of Health Ankara Educational and Research Hospital were studied. All subjects underwent routine ophthalmic examinations, Schirmer test, tear film break-up time analysis and conjunctival impression cytology analysis. Patients in three groups were compared for tear function parameters, goblet cell density and squamous metaplasia grade. The relation between status of retinopathy and ocular surface disorders were noted. <p>RESULTS: The tear film break-up time values were significantly lower at patients treated with OAD(<i>P</i><0.05). Goblet cell density and squamous metaplasia grade were similar at all groups. The median grade was grade 1 in which epithelial cells are slightly larger, more polygonal, have eosinophilic staining cytoplasm and goblet cells are decreased in number. Status of retinopathy did not seem to relate with ocular surface disorders. <p>CONCLUSION: Precorneal tear film stability is found to be worse in patients treated with OAD whereas impression cytology analysis is similar in all groups.http://www.ies.net.cn/cn_publish/2013/9/201309002.pdfocular surfacediabetes mellitusimpression cytology
spellingShingle Burçin Köklü Çakır
Yasemin Aslan Katırcıo(ˇoverg)lu
Nurten Ünlü
Hüseyin Üstün
Remzi Kasım
Sunay Duman
Effects of oral antidiabetic drugs and insulin treatment on ocular surface
Guoji Yanke Zazhi
ocular surface
diabetes mellitus
impression cytology
title Effects of oral antidiabetic drugs and insulin treatment on ocular surface
title_full Effects of oral antidiabetic drugs and insulin treatment on ocular surface
title_fullStr Effects of oral antidiabetic drugs and insulin treatment on ocular surface
title_full_unstemmed Effects of oral antidiabetic drugs and insulin treatment on ocular surface
title_short Effects of oral antidiabetic drugs and insulin treatment on ocular surface
title_sort effects of oral antidiabetic drugs and insulin treatment on ocular surface
topic ocular surface
diabetes mellitus
impression cytology
url http://www.ies.net.cn/cn_publish/2013/9/201309002.pdf
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