An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease

Background: Ocular surface disorders and dryness of eye are increasing day-by-day particular among type 2 diabetics. The factors such as autonomic dysfunction and high blood sugar level account for the development of dry eye in diabetes. Although pathogenesis of dry eye syndrome (DES) is not clearly...

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Main Authors: Kumaresh Chandra Sarkar, Shashwat Bhattacharyya, Piyali Sarkar, Aditi Maitra, Ramkrishna Mandal
Format: Article
Language:English
Published: ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES 2021-06-01
Series:Journal of Medical Sciences and Health
Subjects:
Online Access:https://jmsh.ac.in/index.php?option=com_k2&view=item&id=185
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author Kumaresh Chandra Sarkar
Shashwat Bhattacharyya
Piyali Sarkar
Aditi Maitra
Ramkrishna Mandal
author_facet Kumaresh Chandra Sarkar
Shashwat Bhattacharyya
Piyali Sarkar
Aditi Maitra
Ramkrishna Mandal
author_sort Kumaresh Chandra Sarkar
collection DOAJ
description Background: Ocular surface disorders and dryness of eye are increasing day-by-day particular among type 2 diabetics. The factors such as autonomic dysfunction and high blood sugar level account for the development of dry eye in diabetes. Although pathogenesis of dry eye syndrome (DES) is not clearly understood, it has been shown that accumulation of sorbitol may cause lacrimal gland structure damage and dysfunction resulting decreased tear secretion. Poor glycemic control affects both the anterior and the posterior segments of the eye and increasing prevalence of diabetes-associated DES has been reported in recent years. Materials and Methods A cross-sectional study was conducted in the department of ophthalmology of a tertiary care hospital. Consecutive 100 patients with type 2 diabetes mellitus (DM) who attended outpatient department were included as per inclusion-exclusion criteria. Results: The majority of the patients (58%) was female with female-to-male ratio of 1.38:1. Most of the patients (43%) were under 50 years followed by 51–60 years (34%). Overall, the mean age was 54.26 ± 10.06 years. More than half (63%) of the patients had duration of diabetes up to 5 years. The result showed 42% prevalence of DES among the patients. Number of patients had been suffering from mild, moderate, and severe dry eye were 21%, 16%, and 5%, respectively. The condition was pronounced with longer duration and poor control of diabetes. Conclusions: DES in patient with type 2 DM was significantly associated with increasing age but not with the sex. The duration of diabetes had a direct influence on dry eye. Poor control of diabetes was associated with higher prevalence of dry eye. Early detection of diabetes and its adequate control is the key measure for prevention of dry eye in diabetes.
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spelling doaj.art-9920cb2641d04b65915fee9cfffb9c812022-12-21T21:32:18ZengADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCESJournal of Medical Sciences and Health2394-94812394-949X2021-06-01716872doi:10.46347/jmsh.2021.v07i01.012An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of DiseaseKumaresh Chandra Sarkar0Shashwat Bhattacharyya1Piyali Sarkar2Aditi Maitra3Ramkrishna Mandal4Associate Professor, Department of Ophthalmology, Cooch Behar Government Medical College, Cooch Behar, West Bengal, IndiaAssistant Professor, Department of Ophthalmology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, IndiaAssociate Professor, Department of Ophthalmology, Calcutta National Medical College, Kolkata, West Bengal, India,Senior Resident, Department of Pharmacology, Calcutta National Medical College, Kolkata, West Bengal, IndiaConsultant Specialist Medical Officer, Department of Ophthalmology, Balurghat District Hospital, Dakshin Dinajpur, West Bengal, IndiaBackground: Ocular surface disorders and dryness of eye are increasing day-by-day particular among type 2 diabetics. The factors such as autonomic dysfunction and high blood sugar level account for the development of dry eye in diabetes. Although pathogenesis of dry eye syndrome (DES) is not clearly understood, it has been shown that accumulation of sorbitol may cause lacrimal gland structure damage and dysfunction resulting decreased tear secretion. Poor glycemic control affects both the anterior and the posterior segments of the eye and increasing prevalence of diabetes-associated DES has been reported in recent years. Materials and Methods A cross-sectional study was conducted in the department of ophthalmology of a tertiary care hospital. Consecutive 100 patients with type 2 diabetes mellitus (DM) who attended outpatient department were included as per inclusion-exclusion criteria. Results: The majority of the patients (58%) was female with female-to-male ratio of 1.38:1. Most of the patients (43%) were under 50 years followed by 51–60 years (34%). Overall, the mean age was 54.26 ± 10.06 years. More than half (63%) of the patients had duration of diabetes up to 5 years. The result showed 42% prevalence of DES among the patients. Number of patients had been suffering from mild, moderate, and severe dry eye were 21%, 16%, and 5%, respectively. The condition was pronounced with longer duration and poor control of diabetes. Conclusions: DES in patient with type 2 DM was significantly associated with increasing age but not with the sex. The duration of diabetes had a direct influence on dry eye. Poor control of diabetes was associated with higher prevalence of dry eye. Early detection of diabetes and its adequate control is the key measure for prevention of dry eye in diabetes.https://jmsh.ac.in/index.php?option=com_k2&view=item&id=185diabetes mellitusdry eye syndromenon-proliferative diabetic retinopathytear film break-up time
spellingShingle Kumaresh Chandra Sarkar
Shashwat Bhattacharyya
Piyali Sarkar
Aditi Maitra
Ramkrishna Mandal
An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease
Journal of Medical Sciences and Health
diabetes mellitus
dry eye syndrome
non-proliferative diabetic retinopathy
tear film break-up time
title An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease
title_full An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease
title_fullStr An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease
title_full_unstemmed An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease
title_short An Observational Study on the Prevalence of Dry Eyes in Type 2 Diabetes Mellitus Patients and its Relation to the Duration and Severity of Disease
title_sort observational study on the prevalence of dry eyes in type 2 diabetes mellitus patients and its relation to the duration and severity of disease
topic diabetes mellitus
dry eye syndrome
non-proliferative diabetic retinopathy
tear film break-up time
url https://jmsh.ac.in/index.php?option=com_k2&view=item&id=185
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