Literature DB >> 18043169

The influence of chronic diabetes mellitus on the thickness and the shape of the anterior and posterior surface of the cornea.

Nanouk G M Wiemer1, Michiel Dubbelman, Piet J Kostense, Peter J Ringens, Bettine C P Polak.   

Abstract

PURPOSE: To determine the influence of diabetes mellitus (DM) type 1 and type 2 on the thickness, radius of curvature, power, and asphericity of the cornea.
METHODS: In this observational cross-sectional study, 102 patients with DM type 1, 101 patients with DM type 2, and 69 healthy subjects were measured by means of Scheimpflug imaging to determine central corneal thickness and the radius and asphericity of the anterior and posterior corneal surfaces. Corneal power was calculated from these parameters. Several systemic parameters (eg, duration of diabetes, glycated hemoglobin, blood glucose levels, and type of medication) and ocular comorbidity (eg, stage of retinopathy) were recorded.
RESULTS: Patients with DM type 1 and 2 had significantly smaller posterior corneal radii (P < 0.05) than those of healthy subjects (men: 6.49/6.48/6.64 mm; women: 6.36/6.30/6.49 mm). As a result, the optical power of the posterior corneal surface of the patients with diabetes differed from that of the healthy subjects (P < 0.01; men: DM, -6.2 D; healthy, -6.0 D; women: DM, -6.3 D; healthy, -6.2 D). However, corneal thickness, anterior radius and asphericity, and overall corneal power did not differ significantly between the groups. Furthermore, none of the systemic factors or ocular comorbidity had any influence on the corneal thickness or shape.
CONCLUSIONS: DM affects the posterior corneal radius, resulting in a small change in posterior corneal power. However, chronic DM does not seem to significantly influence the overall corneal power.

Entities:  

Mesh:

Year:  2007        PMID: 18043169     DOI: 10.1097/ICO.0b013e31814fa82f

Source DB:  PubMed          Journal:  Cornea        ISSN: 0277-3740            Impact factor:   2.651


  14 in total

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2.  Comprehensive Review of the Effects of Diabetes on Ocular Health.

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3.  Biometry of eyes in type 1 diabetes.

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4.  Evaluation of central corneal epithelial thickness with anterior segment OCT in patients with type 2 diabetes mellitus.

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Review 5.  Current and Novel Therapeutic Approaches for Treatment of Diabetic Macular Edema.

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6.  Effect of biometric characteristics on biomechanical properties of the cornea in cataract patient.

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7.  Central corneal thickness and its determinants in a geriatric population: a population-based study.

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8.  Short-term stability in refractive status despite large fluctuations in glucose levels in diabetes mellitus type 1 and 2.

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9.  Gradients of refractive index in the crystalline lens and transient changes in refraction among patients with diabetes.

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Review 10.  Corneal biomechanical properties in different ocular conditions and new measurement techniques.

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