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健康个体与糖尿病个体眼压变化的比较研究。

Comparative study of intraocular pressure variation among healthy and diabetic individuals.

作者信息

Saif Afreen, Verma Narsingh, Singh Shraddha, Rapelly Sushma S, Shikha Deep

机构信息

Department of Physiology, King George Medical University, Lucknow, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2025 Apr;14(4):1266-1270. doi: 10.4103/jfmpc.jfmpc_1270_24. Epub 2025 Apr 25.

Abstract

BACKGROUND

Diabetes and glaucoma share several common risk factors and pathophysiological similarities. Elevated intraocular pressure, a key pathogenic feature of glaucoma and its progression, has been found to be influenced in diabetic patients. Furthermore, a link between poor glycemic control and increased intraocular pressure has been documented. Given the rising prevalence of diabetes mellitus and its emergence as a new pandemic with widespread effects, it is crucial to thoroughly study its impact on various body systems and implement measures to reduce these adverse effects. Therefore, this study aims to investigate the variation in intraocular pressure and its relationship with different pathogenic risk factors in diabetes mellitus patients to develop effective prevention strategies.

AIM

To study the variation in intraocular pressure among the subjects with Type II Diabetes Mellitus Settings and Study Design: This analytical cross-sectional study conducted at KGMU, Ophthalmology OPD.

METHODS AND MATERIALS

Study has been conducted on a total of 140 participants, comprising of 70 Type II DM cases and 70 age, gender-matched controls in 1year duration. Type II DM was confirmed by diagnosis while controls were selected to match in age & gender without diabetes. IOP measurement was done using non-contact tonometry and central corneal thickness was measured by non-contact method using NIDEK CEM-530 specular microscope. Regression analysis was used to assess association between Type II DM and IOP variation. Statistical analysis of the data was done using IBM SPSS Stats 25.0 version with Student t-test, Chi-square test, ANOVA, and Pearson's correlation with 95% CI is used. P <0.05 is considered significant.

RESULT

Significant distinction in IOP between the between cases and control group is observed. And, also more the duration of diabetes with poor glycemic control may lead to raised IOP.

CONCLUSION

The study rules out the risk factors for raised IOP in general & diabetic population. Thus, emphasizing the need for meticulous ocular care in diabetic individuals.

摘要

背景

糖尿病和青光眼有几个共同的风险因素和病理生理相似性。眼内压升高是青光眼及其进展的一个关键致病特征,已发现其在糖尿病患者中会受到影响。此外,血糖控制不佳与眼内压升高之间的联系也有文献记载。鉴于糖尿病患病率的上升及其作为一种具有广泛影响的新的大流行病的出现,彻底研究其对各种身体系统的影响并采取措施减少这些不良影响至关重要。因此,本研究旨在调查糖尿病患者眼内压的变化及其与不同致病风险因素的关系,以制定有效的预防策略。

目的

研究2型糖尿病患者的眼内压变化

研究地点和设计

本分析性横断面研究在KGMU眼科门诊进行。

方法和材料

在1年的时间里,共对140名参与者进行了研究,其中包括70例2型糖尿病患者和70名年龄、性别匹配的对照组。2型糖尿病通过诊断确诊,而对照组则选择年龄和性别匹配且无糖尿病的人。使用非接触眼压计测量眼压,使用NIDEK CEM - 530镜面显微镜通过非接触方法测量中央角膜厚度。回归分析用于评估2型糖尿病与眼压变化之间的关联。使用IBM SPSS Stats 25.0版本进行数据的统计分析,采用学生t检验、卡方检验、方差分析以及95%置信区间的皮尔逊相关性分析。P <0.05被认为具有统计学意义。

结果

观察到病例组和对照组之间眼压存在显著差异。而且,血糖控制不佳的糖尿病病程越长,可能导致眼压升高。

结论

该研究排除了一般人群和糖尿病患者眼压升高的风险因素。因此,强调了糖尿病患者进行细致眼部护理的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341d/12088549/5ac840b16bc0/JFMPC-14-1266-g001.jpg

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