Riss B, Binder S, Havelec L
Klin Monbl Augenheilkd. 1982 Jun;180(6):553-5. doi: 10.1055/s-2008-1055145.
We measured corneal sensitivity in 30 eyes of juvenile and 70 eyes of maturity onset diabetics by means of the esthesiometer developed by Draeger. We found a significant decrease in corneal sensitivity in both juvenile and maturity-onset diabetics with a positive correlation between the decrease of corneal sensitivity and duration of symptoms in juvenile diabetics. In addition, the decrease in corneal sensitivity was more marked in diabetics with insufficient blood sugar control. Only 43% of diabetics with fundal changes had a concomitant decrease in corneal sensitivity. Diabetic retinopathy therefore seems to precede a polyneuropathy demonstrable by measurements of corneal sensitivity.
我们使用德雷格公司研制的触觉测量仪，对30只青少年糖尿病患者的眼睛和70只成年发病糖尿病患者的眼睛进行了角膜敏感性测量。我们发现，青少年和成年发病糖尿病患者的角膜敏感性均显著降低，青少年糖尿病患者的角膜敏感性降低与症状持续时间呈正相关。此外，血糖控制不佳的糖尿病患者角膜敏感性降低更为明显。只有43%的有眼底改变的糖尿病患者同时伴有角膜敏感性降低。因此，糖尿病视网膜病变似乎先于通过角膜敏感性测量可证实的多发性神经病变出现。
