A comparative study of dry eye in diabetic and non diabetic patients reported to ophthalmology opd AIMSR,Chittoor, Andhra Pradesh.

Abstract

Back ground : a comparative study of dry eye in diabetic and non diabetic patients reported to ophthalmology opd

Methods :A total of 300 patients (600 eyes) who attended to our ophthalmology opd during the period September 2019 to February 2020 were included in the study. They were divided into 2 groups, group A consisting of 150 non diabetic patients, group B consisting of 150 diabetic patients. They were examined for visual acuity, slitlamp examination for anterior segment evaluation. Patients were given questionnaire to enquire regarding symptoms related to dry eye according to which dry eye disorder is identified. The patients with atleast one symptom related to dry eye were then investigated by various investigations like TBUT, Schirmer’s test 1, fluorescein stain, rose Bengal stain,and lissamine green stain to confirm dry eye disorder. Positive result for atleast 1 test was taken as confirmatory test for dry eye disorder.

Results:In our study, out of 300 patients, 158 patients were female(52.66%) and 142 were males(47.33%). Of the total 300 participants, 58% had outdoor occupation and 42% had indoor occupation. Dry eye disorder was seen in 39 out of 300 patients(13%), which is having significant co-relation with outdoor occupation. Among 39 patients with dry eye disorder, 28 patients were diabetic and 11 patients were non diabetic indicating that dry eye is more common among diabetic patients than non diabetic patients

Conclusion:In this study, dry eye disorder is present in 13% . Diabetes and dry eyes appear to have a common association. Further studies need to be undertaken to establish an etiologic relationship. However, examination for dry eye should be an integral part of the assessment of diabetic eye disease.