Dry eye syndrome in patients of diabetes with and without diabetic retinopathy

Authors

  • Ashish Kumar Sharma Department of Ophthalmology, NMCH, Sasaram, Bihar, India
  • Ahmad Nadeem Aslami Department of Community Medicine, NMCH, Sasaram, Bihar, India
  • Amit Kumar Department of Pharmacology, NMCH, Sasaram, Bihar, India
  • Amresh Kumar Department of Ophthalmology, NMCH, Sasaram, Bihar, India
  • Rajeev Priyadarshi Department of Ophthalmology, NMCH, Sasaram, Bihar, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20180476

Keywords:

Dry eye syndrome, Diabetic retinopathy, Schirmer’s BST, TBUT

Abstract

Background: Diabetes Mellitus (DM) can lead to Diabetic retinopathy. Dry Eye Syndrome is commonly seen in diabetic patients. The purpose of this study was assessment of dry eye in patients with and without diabetic retinopathy.

Methods: The study was conducted in the department of Ophthalmology and Rural and Urban centres of Community Medicine, Narayan Medical College and Hospital, Sasaram, Bihar. All cases of Type 2 diabetes mellitus over six months period were considered for the study. The diabetic patients were divided into two groups, one with diabetic retinopathy and others without diabetic retinopathy. All patients were subjected to McMonnie’s questionnaire and clinical evaluation including tear film studies like Schirmer’s test and Tear Film Break Up Time (TBUT).

Results: 60 diabetic patients were enrolled for the study, 30 had evidence of diabetic retinopathy while 30 had no evidence. The most common dry eye symptom reported was foreign body sensation (96.7%). All Signs of dry eye disorder were found more commonly in patients with diabetic retinopathy as compared to those without diabetic retinopathy. Mcmonnie’s scores correlates well with both Schirmer’s basic secretion test (BST) and TBUT.

Conclusions: Dry eye syndrome must be diagnosed in diabetic patients. Periodic screening of diabetic patients should be carried out to evaluate diabetic retinopathy and its complications. 

References

Mathews E,Thomas E, Absetz P, D’Esposito F, Aziz Z, Balachandran S, et al. Cultural adaptation of a peer-led lifestyle intervention program for diabetes prevention in India: the Kerala diabetes prevention program (K-DPP). BMC Pub Heal. 2018;17:974.

Han SB, Yang HK, Hyon JY, Wee WR. Association of dry eye disease with psychiatric or neurological disorders in elderly patients. Clin Interv Aging. 2017;12:785-92.

Sheth NR, Sareshwala NA, Chaudhary SG, Matai HD. Awareness about diabetes mellitus and diabetic retinopathy in patients with diabetes mellitus. Int J Res Med Sci. 2017;5:3570-2.

Manaviat MR, Rashidi M, Afkhami-Ardekani M, Shoja MR. Prevalence of dry eye syndrome and diabetic retinopathy in type 2 diabetic patients. BMC Ophthalmol. 2008;8:10.

Khurana G, Khurana D, Jain R. Dry eye in patients with diabetic retinopathy: A Clinical Study. Delhi J Ophthalmol. 2017;27:190-3.

Dhar RH, Dhar V. Dry eyes in patients of diabetes mellitus: a clinicalprofile-a retrospective study. Int J Inov App Res. 2017;5:28-33.

Gothwal VK, Pesudovs K, Wright TA, MacMonnies CW. McMonnies questionnaire: enhancing screening for dry eye syndromes with Rasch analysis. Invest Ophthalmol Vis Sci. 2010;51:1401-7.

Bhatnagar KR, Pote S, Pujari S, Deka D. Validity of Subjective assessment as screening tool for dry eye disease and its association with clinical tests. Int J Ophthalmol. 2015;8:174-81.

Rahman A, Yahya K, Ahmed T, Sharif-Ul-Hasan K. Diagnostic value of tear film tests in type 2 diabetes. J Pak Med Assoc. 2007;57:577-81.

Lin X, Xu B, Zheng Y, Coursey TG, Zhao Y, Li J, et al. Meibomian Gland Dysfunction in Type 2 Diabetic Patients. J Ophthalmol. 2017;2017:3047867.

Dogru M, Katakami C, Inoue M. Tear function and ocular surface changes in non-insulin dependent diabetes mellitus. Ophthalmol. 2001;108:586-92.

Ozdemir M, Buyukbese MA, Cetinkaya A, Ozdemir G. Risk factors for ocular surface disorders in patients with diabetes mellitus. Diabetes Res Clin Prac. 2003;59:195-99.

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Published

2018-02-22

How to Cite

Sharma, A. K., Aslami, A. N., Kumar, A., Kumar, A., & Priyadarshi, R. (2018). Dry eye syndrome in patients of diabetes with and without diabetic retinopathy. International Journal of Research in Medical Sciences, 6(3), 794–797. https://doi.org/10.18203/2320-6012.ijrms20180476

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Original Research Articles