Ocular Surface Disorders in Type 2 Diabetes Mellitus

ABSTRACT

Introduction: The Global Burden of diabetes has shown a asignificant rise in recent years as estimated by the InternationalDiabetes Federation (IDF). Study aimed to assess the ocularsurface disorders in type 2 Diabetes mellitus patients.Material and methods: In an observational cross sectionalstudy, standardized enrolment criteria were employed, and182 patients with Type 2 Diabetes Mellitus were selected withduration of diabetes more than 5 years of age. Standardizedmethods were used to evaluate the Ocular surface damage andDry eye disease. Clinical tests such as Schirmer’s Test, TearFilm breakup Time(TBUT), Tear Meniscus Height Test, BlinkRate Fluorescein staining and Lissamine green Staining wereused to diagnose the Dry eye and Ocular surface disorders.Results: Abnormal Tear film Breakup time was seen in51% patients, Abnormal Schirmer’s test were observed in61% patients, Abnormal Tear Meniscus height was seenin 45.6% patients. 45.6% patients were diagnosed top haveDry eye disease, and had a positive co-relation with Durationof Diabetes(P=0.01), Diabetic Control(P=0.002) and withDiabetic Retinopathy(P=0.031).Conclusion: Ocular Surface disorders and dry eye are seenin 45% of patients and are related to factors such as Age ofDiabetes and Glycaemic Control of Diabetes