scholarly journals A comparative study of central corneal thickness in diabetics and non-diabetics using ultrasonic pachymetry

2021 ◽  
Vol 7 (3) ◽  
pp. 554-561
Author(s):  
Chinnangolla Viveknandini Reddy ◽  
M H Reddy

To determine association between central corneal thickness and type 2 diabetes mellitus in patients attending outpatient department of Ophthalmology at a tertiary care centre in North Karnataka.This is a cross-sectional study conducted over a period of April 2018 – September 2020 on patients attending outpatient department of Ophthalmology at a tertiary care centre in North Karnataka. Study includes 168 subjects divided into 3 groups: 40 diabetics whose duration >10 years46 diabetics whose duration ≤10 yearsand 82 controls.Detailed ophthalmic examination was conducted in all patients and central corneal thickness was measured using ultrasound pachymetry. A statistically significant difference was found between mean central corneal thickness of diabetics (534.0581µ - right eye; 534.3605µ - left eye) and non-diabetics (525.8659µ - right eye; 525.8659µ - left eye); p value <0.05. Association between central corneal thickness and age, gender, laterality and duration of diabetes were not statistically significant. Patients with type 2 diabetes mellitus have thicker corneas as compared to non-diabetics. Henceforth, it is important to measure central corneal thickness in all diabetics, as it affects IOP measurement which is vital for early diagnosis and timely treatment of glaucoma.

2021 ◽  
Vol 8 (10) ◽  
pp. 517-521
Author(s):  
Mohan Toi ◽  
Praveen Prabhakar

BACKGROUND Diabetes mellitus is the most common endocrine metabolic disease. Thyroid disorders are the second most common endocrine disorders, there is a high chance for an individual to have both diseases. Drugs for diabetes modify thyroid gland function, so these drug interactions have to be taken into account for treatment of diabetics with thyroid disorder. We wanted to study the profile of thyroid gland dysfunction in patients with type 2 diabetes mellitus. METHODS A cross sectional observational study was conducted among 230 subjects attending our tertiary care centre, meeting case definition of type 2 diabetes mellitus, over a period of 18 months. A detailed history was taken, and examination was done, followed by baseline investigations, blood sugar and thyroid function tests. Data was collected in proforma, entered in Microsoft Excel and analysed using Statistical Package for the Social Sciences (SPSS). RESULTS In the present study, 18.3 % (42) patients with type 2 diabetes mellitus had abnormal thyroid profile. The most common abnormality was subclinical hypothyroidism (66 %). 57.2 % were females and 42.8 %, males. Majority belonged to 41 - 60 yrs. age group (56.5 %). 57 % patients had family history of diabetes mellitus. 75 % were overweight and obese. The prevalence of hypertension (50.9 %) and hypercholesterolemia (31.8 %) was high. CONCLUSIONS Prevalence of thyroid dysfunction was found to be more among type 2 diabetics than in general population, and that too, in females. There was no significant correlation between age, type of treatment, family history, hypertension and hypercholesterolemia. KEYWORDS DM, Thyroid Gland Disorder


2016 ◽  
Vol 4 (5) ◽  
pp. 798-802
Author(s):  
Dr. Rajeev Lohokare ◽  
◽  
Dr Akash Bansal ◽  
Dr. Vinita Kothari ◽  
Dr. Purnima Dey Sarkar ◽  
...  

2021 ◽  
Vol 6 (2) ◽  
pp. 35-38
Author(s):  
Dr. Jigish Desai ◽  

Background and Aim: Diabetes has emerged as an important global health concern because of itsvarious adverse effects on the ocular tissue. The present study was done to study the correlationbetween type 2 diabetes mellitus and central corneal thickness in patients coming to the tertiarycare institute of Gujarat, India. Material and Methods: The present study was conducted over 1year at the tertiary care institute of Gujarat, India.50 patients with type 2 diabetes mellituspreviously diagnosed by a physician on treatment and 50 age-matched controls who are non-diabetics on history and blood sugar levels were enrolled. The central corneal thickness wasmeasured using an ultrasound pachymeter using multiple reading single point modes by a singleperson. Results: The mean central corneal thickness in diabetics was 565 ± 21 micrometres and innon-diabetics was 517 ± 20 micrometres. The central corneal thickness was found to be higher inpatients with type 2 diabetes mellitus when compared to non-diabetics. Conclusion: Patients withtype 2 diabetes mellitus were found to have thicker corneas as compared to non-diabetics. Thisshould take into consideration while interpreting intraocular pressure and before any refractivesurgeries in diabetics.


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