Comments on: Microvascular and macrovascular complications in diabetes mellitus: Distinct or continuum?

Sir,

We read with great interest the article by Chawla et al. titled “Microvascular and macrovascular complications in diabetes mellitus: Distinct or continuum?”[1] We applaud the efforts of the authors in describing the challenges in detail. However, we would like to make important additions.

Other microvascular and macrovascular involvements are in the form of anterior ischemic optic neuropathy, diabetic papillopathy, and ocular movement disorders due to third, fourth, or sixth cranial nerve involvement, ocular ischemic syndrome, retinal vein occlusion, retinal arteriolar emboli, and retinal artery occlusion.[2] Glaucoma and glaucomatous optic neuropathy, dry eye, and diabetic keratopathy are other prominent findings due to vascular and neural involvement.[3]

Regretfully, most of the health institutes tend to focus only on the retinopathy part in an eye examination. Adequate knowledge needs to be shared on other aspects of ocular involvement.

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