NR 10-12/2007

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Analiza centralnej grubości rogówki u dzieci młodzieży z cukrzycą insulinozależną

Evaluation of central corneal thickness in children and adolescents with type I diabetes mellitus

Beata Urban1, Jadwiga Peczyńska2, Barbara Głowińska-Olszewska2, Mirosława Urban2,
Alina Bakunowicz-Łazarczyk1, Małgorzata Krętowska3

1Z Kliniki Okulistyki Dziecięcej Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. med. Alina Bakunowicz-Łazarczyk
2Z II Kliniki Chorób Dzieci Akademii Medycznej w Białymstoku
Kierownik: prof. dr hab. med. Mirosława Urban
3Z Wydziału Informatyki Politechniki Białostockiej
Kierownik: prof. dr hab. Leon Bobrowski

Summary: Purpose: To evaluate corneal thickness in diabetic and nondiabetic patients.
Materials and methods: The central corneal thickness (CCT) was investigated in 100 eyes of 100 patients with diabetes type I and in 99 nondiabetic patients (99 eyes). The mean diabetic patients age was 15.31±3.18 years. The mean age in control group was 14.3±2.2 years. Corneal thickness was measured by non-contact microscope Topcon SP-2000P. Statistical analysis was performed to assess systemic factors (patient age, sex, duration of diabetes mellitus, hemoglobin A1c value, diabetes control) related to CCT. SAS STAT (Release 8.2) program, the independent t-test, Kolmogorow-Smirnow test and Bartlett test were used to compare differences between the diabetic and control group.
Results: In our study the mean CCT in diabetic eyes was 0.54±0.03 mm and was significantly increased, compared to control group (0.525±0.037 mm). None of systemic factors was correlated with CCT.
Conclusions: Our findings indicate that diabetes mellitus affects thickness of cornea in adolescents. Evaluation of endothelium in specular microscope should be performed in the diabetic patients.
Słowa kluczowe:  centralna grubość rogówki, cukrzyca typu 1., dzieci i młodzież, mikroskop bezkontaktowy.
Key words: central corneal thickness, diabetes type 1, children and adolescents, non-contact microscopy.



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