NR. 3(II)/2004

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Ocena zmian strukturalnych rogówki w cukrzycy

The evaluation of structural corneal changes in diabetic patients


Ewa Langwińska-Wo¶ko, Edyta Zielińska, Anetta Dworakowska-Drwęga, Adam Hapunik

Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. med. Jerzy Szaflik

Summary: Purpose: The aim of this study was evaluation of corneal thickness and condition of corneal endothelium in diabetic patients. We tried to find out correlation between these parameters and duration and type of diabetes.
Material and methods: We examined 186 patients (288 eyes). They were divided in two groups: suffering from diabetes and matched control group – non-diabetic patients. In our study we did not include any patients after eyaball trauma, eye inflamation or operation and patients with high refractive errors or limited value of intraocular pressure. The central corneal thickness (CCT) was measured by OLCR Pachymeter – HAAG STREIT (Optical Low Coherent Reflectometry). Corneal endothelium was estimated by Specular Microscope SP-1000-TOPCON.
Results: The mean CCT was 573.75 mm in diabetic patients and 540.85 mm in the control group. The mean number of corneal endothelium cells was 1942.31 kom/mm2 and 2015.22 kom/mm2, respectively.
Conclusions: The central corneal thickness in diabetic patients is greater than in control group – this difference is statistically significant. The difference in number of corneal endothelium cells in both groups is statistically not significant
 
Key words: central corneal thickness, corneal endothelium cells, diabetes, diabetic patients.



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