International Journal of Ophthalmology & Visual Science
Volume 4, Issue 4, December 2019, Pages: 77-80
Received: Sep. 27, 2019;
Accepted: Oct. 29, 2019;
Published: Nov. 5, 2019
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Chantal Makita, Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Congo; Department of Ophthalmology, University Hospital, Brazzaville, Congo
Charles Géraud Fredy Nganga Ngabou, Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Congo; Department of Ophthalmology, University Hospital, Brazzaville, Congo
Eyissa Nzi Gombé, Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Congo
Reinette Messe Ambia Koulimaya, Department of Ophthalmology, University Hospital, Brazzaville, Congo
The Ocular complications of diabetes mellitus except for diabetic retinopathy have been poorly studied compared retinal complications, which are the main cause of blindness. We report the results of a prospective study reviewing the different ocular conditions encountered during diabetes. Four hundred (400) eyes of two hundred (200) patients with type 1 and type 2 diabetes were examined during a period of 8 months. All included patients underwent a complete ophthalmological examination. Fifty-seven diabetic patients were diagnosed of an ocular disease at a frequency of 28.5%. There were 42 male and 17 female patients with an average age of 57, 5 years old. The average duration of diabetes was 11.8 years. Non-insulin-dependent diabetes mellitus was present in 59.6% of cases. Cataracts were the most common ocular diseases diagnosed in 45.6% of cases followed by primary or chronic open-angle glaucoma in 22.9% and hyperopia in 12.3% of cases. Corneal sensitivity was decreased in 52% of cases and bilateral optic neuropathy was found in 3.4% of cases (two hundred eyes). The ocular complications of diabetes mellitus except for diabetic retinopathy, are dominated by cataracts and glaucoma. But there are also neuropathies that may cause blindness. These conditions should therefore also be systematically screened for evaluations and reviews of potential degenerative complications in patients with diabetes mellitus.
Charles Géraud Fredy Nganga Ngabou,
Eyissa Nzi Gombé,
Reinette Messe Ambia Koulimaya,
Ocular Complications of Diabetes Mellitus Except for Diabetic Retinopathy, International Journal of Ophthalmology & Visual Science.
Vol. 4, No. 4,
2019, pp. 77-80.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Vieira-Potter VJ, Karamichos D, Lee DJ. Ocular Complications of Diabetes and Therapeutic Approaches. Bio-Med Research International 2016; 3801570.
Savin N, Kara N, Pekel G. Ocular complications of diabetes mellitus. World J Diabetes 2015; 6: 92-108.
Sinclair SH. Diabetic retinopathy: The unmet needs for screening and review of potential solutions. Expert Rev Med Devices 2006; 3: 301-16.
Franck RN. Diabetic retinopathy. N Engl J Med 2004; 350: 48-58.
Balo KP, Mensah A, Koffi-Gue B. La rétinopathie diabétique: une étude angiographique chez le noir Africain. Méd Afr Noire, 1995; 42: 402-5.
Massin-Korobelnik P, Guillausseau PJ. Hyperglycémie chronique et rétinopathie diabétique. Sang, Thrombose, vaisseaux 1992; 4: 3653-72.
Koki G, Bella AL, Ongboua EA, Epée E, Sobngui E, Kouanane KA, Ebana MC, Mbanya JC. Rétinopathie diabétique du Noire africain étude angiographique. Cah Etude Rech Francophone/ santé 2010; 20, 3: 127-32.
Sidibé EH. Rétinopathie diabétique à Dakar et revue de la littérature africaine: éléments épidémiologiques. Diabete Métab 2000; 26: 322.
Rotami C, Daniel H, Zhou J, et al. Prévalence and determinants of diabetic. Rétinopathy and cataracts in west africain types 2 diabetes patients Ethn Dis 2003; 13 (2 suppl 2): S 110 -7.
Touzeau O, Levet L, Borderie V, Bouchard P, Laroche L. Le segment antérieur de l’œil des diabétiques. J Fr Ophtalmol, 2007; 27, 8: 859-70.
Offret G, Dhermy P. Métabolisme du cristallin et cataracte. J Fr Ophtalmol, 1988; 11: 369- 02.
Ekkis JD, Evans JM, Ruta DA, Baines PS, Leese G, Mac Donald TM, et al. Glaucoma incidence unselected cohort of diabetic patients: is diabetes mellitus a risk factor for glaucoma ? Br J Ophthalmol, 2000; 84: 1218-24.
Nielsens NV. The prévalence of glaucoma and ocular hypertension in type 1 and 2 diabetes mellitus. Acta Ophthalmologica 1983; 61: 662-72.
Klein BE, Klein R, Moss SE. Intraocular pressure in diabetic persons. Ophtalmology 1984; 91: 1356-60.
Tielsch JM, Katz J, Quigley HA et al. Diabetes, intraocular pressure, and primary open-angle glaucoma in the Baltimore Eye Survery Ophtalmology 1995; 102: 48-53.
Klein BE, Klein R, Jensen SC. Open-angle glaucoma and older-onset diabetes: the Beaver dam Eye study. Ophtalmology 1994; 101: 1173-7.
Fledelius HC, Fuchs J, Reck A. Refraction in diabetes during metabolic dysregulation acute or chronic. Acta Ophthalmol 1990; 68: 275-80.
Cochet P, Bonnet R. L’esthésie cornéenne. Clin Ophtalmol, 1960; 43-27.
Ben Osman B, Jeddi A, Sebah L, Zghal I, Kaoueche M, Gaigi S, Ayed S. La cornée du diabétique. J Fr Ophtalmol 1995; 18: 120-3.
Chiara E. Optic Neuropathy in diabetic patient. Focus on diabetic retinopathy 1996; 28-33.
Ducrey N. Les complications ophtalmologiques du diabète à l’exclusion de la rétinopathie diabétique. J Fr Ophtalmol 1999; 22: 400-7.
OHRT V. The frequency of rubeosis iridis in diabetic patients. Acta Ophthalmol 1971; 49: 301-7.