Volume : 7, Issue : 6, June - 2018

STUDY OF DRY EYE SYNDROME IN DIABETES MELLITUS PATIENTS

Dr. Suresh Chandra Swain, Dr. Deepak Choudhury, Dr Sikha Misra, Dr. Prasanta Kumar Nanda, Dr. Nikita Dash, Dr. Sumita Mohapatra

Abstract :

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;text-indent:.25in;line-height:150%"><span style="font-size:14.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Aim:- To study clinical features &amp; management of dry eye syndrome in diabetes mellitus patients attending out patients<span style="mso-spacerun:yes">&nbsp; </span>department (OPD) of<span style="mso-spacerun:yes">&nbsp; </span>a tertiary eye care centre in state of Odisha. Materials and methods: - This was a prospective study done for a period of 2 years from </span><span lang="EN-IN" style="font-size:14.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-IN">October 2014 to September 2016</span><span style="font-size:14.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">. Study involved </span><span lang="EN-IN" style="font-size:14.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-ansi-language:EN-IN">480 patients with diabetes mellitus</span><span style="font-size:14.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">. They </span><span lang="EN-IN" style="font-size:14.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-ansi-language:EN-IN">were subjected to Schirmer test, tear film eakup time (TBUT) calculation, fluorescein staining. Those diagnosed with dry eye were divided in mild, moderate and severe category according to Schirmer scores. They were given treatment according to their severity. </span><span style="font-size:14.0pt;line-height:&#10;150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results: - </span><span lang="EN-IN" style="font-size:14.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-ansi-language:EN-IN;mso-bidi-font-weight:bold">38.3% of patients had dry eye, out of which 23.3% have mild dry eye. </span><span lang="EN-IN" style="font-size:14.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-ansi-language:EN-IN">In 61-80 years age group 96 cases (52.3%) presented with dry eye features. Male : female ratio was 1:1.49. Most common symptom was gritty feeling (59.8%). 78 cases (42.4%) had TBUT &lt;10 sec. 60.8% patient showed improvement in symptoms at 1^st month treated with luicating drop and those cases responded well even after 6months. </span><span style="font-size:14.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><span style="mso-spacerun:yes">&nbsp;</span>Conclusion:- <span style="color:black;&#10;letter-spacing:-.05pt;mso-font-width:101%">Dry eye syndromes should be diagnosed early and managed with lot of care and skill. Tear substitutes are the mainstay of treatment in case of dry eyes associated with diabetes.</span></span><span lang="EN-IN" style="font-size:14.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-ansi-language:EN-IN"><o:p></o:p></span></p>