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Ocular complications in young patients with insulin dependent diabetes
Author(s) -
North R. V.,
Farrell U.,
Banford D.,
Jones C.,
Gregory J.,
Butler G.,
Owens D. R.
Publication year - 1996
Publication title -
ophthalmic and physiological optics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.147
H-Index - 66
eISSN - 1475-1313
pISSN - 0275-5408
DOI - 10.1046/j.1475-1313.1996.9683345x.x
Subject(s) - metabolic control analysis , medicine , diabetic retinopathy , retinopathy , ophthalmology , diabetes mellitus , visual acuity , ophthalmoscopy , eye disease , fundus photography , accommodation , mydriasis , optometry , fundus (uterus) , macular degeneration , retinal , endocrinology , fluorescein angiography , psychology , neuroscience
Purpose: To compare the visual functions of a group of young patients with insulin dependent diabetes mellitus (IDDM) to a control group, and identify those with retinopathy and assess the influence of metabolic control. Methods: A group of IDDMs (aged 10–21 years), were examined for two years at the UHW ( n = 123). Fundus photography and ophthalmoscopy were performed under mydriasis. Visual acuity, colour vision (desaturated D15), contrast sensitivity (Vistech VCTS 6500) and metabolic control were assessed. In a subgroup ( n = 7), accommodation, macular threshold, central visual fields and dark adaptation were measured. Results: IDDMs made significantly more errors with the desaturated D15 than the control group, and had higher macular thresholds and lower amplitudes of accommodation ( P < 0.05). IDDMs with retinopathy had significantly poorer metabolic control (HbA1) than those without. Conclusion: Colour vision differed significantly between IDDMs and the control group. Fifty‐two IDDMs exhibited diabetic retinopathy. The need for good metabolic control is demonstrated.