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NR 4-6/2007
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Niekorzystny
przebieg zmian w narządzie wzroku u młodych kobiet z długo
trwającą cukrzycą i objawami jadłowstrętu psychicznego
Disadvantageous course of
ophthalmological changes in young women with long-lasting
diabetes mellitus followed by the symptoms of anorexia nervosa
Jadwiga Bernardczyk-Meller, Anna
Napierała, Joanna Siwiec-Prościńska, Anna Lubczyńska, Jarosław
Kocięcki
Z Katedry i Kliniki Okulistyki Akademii Medycznej w Poznaniu
Kierownik: dr hab. n. med. Jarosław Kocięcki |
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| Summary: |
Purpose: To present the
course and progression of very severe proliferative
retinopathy in young women with long lasting diabetes
mellitus and symptoms of anorexia nervosa.
Material and methods: The data of 5 young women, in age
25-32 years, suffering from diabetes mellitus 15 to 29
years with intended weight lose. The progression of
ophthalmological changes was observed, followed by
considerable fluctuations of glucose blood.
Results: In the time of weight lose in all patients, the
worsening of the visual acuity was observed and it was
the first reason for ophthalmological check-up. The
initial best corrected visual acuity was 0.1-0.9. The
rubeosis of the iris, cataracts and proliferative
retinopathy with intravitreal hemorrhage and tractional
retinal detachment were observed. Despite the immediate
ophthalmological treatment ( lasertherapy, pars plana
vitrectomy, criopexy and retinopexy) the useful visual
acuity (>0.1) was maintained only in one eye.
Conclusions:
1. In case of significant exacerbation of progression of
ophthalmological changes in patients with long lasting
diabetes mellitus and anorexia nervosa the monitoring of
their psychological and physical conditions is essential.
2. In the case of weight lose in patients with long
lasting diabetes mellitus the rigorous ophtalmological
monthly consultations are obligate. |
| Słowa kluczowe: |
cukrzyca, retinopatia
cukrzycowa, jadłowstręt psychiczny, zaburzenia
przyjmowania pokarmów. |
| Key words: |
type 1 of diabetes
mellitus, diabetic retinopathy, anorexia nervosa, eating
disorders. |
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