Assessment of Ocular Surface Damage during the Course of Type 2 Diabetes Mellitus

الملخص EN

Purpose.

To investigate the impact of disease duration on the ocular surface during the course of type 2 diabetes mellitus compared with nondiabetic controls.

Methods.

One hundred twenty diabetic patients were divided into three groups according to disease duration: less than 5 years, 5–10 years, and over 10 years.

All eyes were imaged using a corneal topographer (Oculus Keratograph 5M).

Tear film measurements and meibography were also recorded.

Meibomian gland changes were scored from 0 to 6 (meiboscore).

Results.

The noninvasive breakup time first (NIKBUT-1st) and noninvasive breakup time average (NIKBUT-avg) were significantly shorter in the over 10 years diabetic group compared with the control group (P=0.0056 and P=0.010, resp.).

Tear meniscus height (TMH) was significantly lower in the over 10 years diabetic group compared with the control group (P=0.0016) and the 5 years group (P=0.0061).

We also found that more patients in the over 10 years diabetic group showed bulbar and limbal hyperemia compared with the control group (bulbar hyperemia: P=0.049; limbal hyperemia: P=0.026).

The meiboscore in the over 10 years diabetic group was significantly higher compared with the other three groups (P<0.05).

Bulbar hyperemia showed a significant negative correlation with NIKBUT-1st in the over 10 years diabetic group (r=−0.35 and P<0.05).

Conclusion.

Ocular surface damage in long-term type 2 diabetes is more severe than that in patients with shorter disease duration.