Abstract

Purpose: To compare the prevalence and severity of dry eye in Type 2 diabetics with non-diabetics

Methods: A total of ­­­200 eyes of 200 patients; 100 patients whom were diagnosed cases of type 2 diabetes and 100 non-diabetics who presented with ocular discomfort were evaluated over 12 months. Right eye was taken up for the study in all the patients. Dry eye was confirmed by diagnostic tests namely: Schirmer’s test, Tear break up time, Tear meniscus height, Fluorescein staining and Lissamine green staining. Ocular Surface Disease Index questionnaire was filled. On the basis of symptoms, signs and test results, Dry eye was graded from grade 1 to grade 4 according to the Dry eye workshop dry eye severity grading scheme.

Results: Most patients (82%) above the age of 50 were diabetics. Diabetics presented to the clinic nearly eight years later than non-diabetics (p < 0.0001). Itching (In Non-diabetics) and grittiness (In diabetics) were the most common symptoms (p = 0.04). Schirmer’s test and Tear Break up time was found to be abnormal in more diabetics as compared to non-diabetics. Tear meniscus height was similar in both groups. Diabetics also had much higher grade of dry eye disease (p value = 0.002). Prevalence of dry eye among diabetics was 43 % while in non-diabetics was 30 %.

Conclusion: Patients in diabetic group had higher grade of dry eye as compared to non-diabetic patients. Schirmer’s test value was significantly lower in diabetics than non-diabetics.

Keywords: Diabetes Mellitus (DM); Tears; Xerophthalmia

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Citation

Citation: Anuj Kumar Singal., et al. “Dry Eye Occurrence in Type II Diabetics and Non-diabetics: A Prospective Cohort Study".Acta Scientific Ophthalmology 4.2 (2021): 30-35.

Copyright

Copyright: © 2021 Anuj Kumar Singal., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.