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Refraction in diabetics during metabolic dysregulation, acute or chronic
Author(s) -
Fledelius Hans C.,
Fuchs Josefine,
Reck Anne
Publication year - 1990
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1990.tb01922.x
Subject(s) - emmetropia , hypermetropia , diabetes mellitus , medicine , refraction , ophthalmology , endocrinology , visual acuity , refractive error , optics , physics
The influence of diabetic dysregulation on refraction was analysed by a short‐term and a long‐term approach, a) Out of 15 patients admitted due to high blood sugars and followed over weeks, 11 showed refractive fluctuation of 1–6.5 D, in either direction — often with excess hypermetropia, while 4 appeared refractively stable. In those with refractive change a transient increase of lens thickness was suggested from ultrasound measurements, b) Diabetes control was evaluated retrospectively in 74 adult diabetics, mainly based on repeated 24 h urine glucose determinations over a 6‐year period. As a group, those with low myopia did not score worse than those who had stayed emmetropic. Among the myopes, diabetes duration was longer in the subgroup where diabetes preceded myopia onset. — All considered, we found no support for dysregulation per se as an underlying factor behind the ‘diabetic myopia’ previously reported from our clinic.