Wydanie 1/2019
str. 18 - 20
Wpływ cukrzycy na stan powierzchni oka
The Impact of Diabetes Mellitus on the Ocular Surface
Anna Uliasz, Karolina Wojtaszek-Woźniak, Wesam Taslaq, Aneta Lewicka-Chomont
Klinika Okulistyki Klinicznego Szpitala Wojewódzkiego Nr 1 im. Fryderyka Chopina w Rzeszowie
Kierownik: dr n. med. Aneta Lewicka-Chomont
Summary: Diabetes mellitus is one of the largest public health problems worldwide. It is a chronic disease that results from inadequate insulin production or ineffective insulin utilization. Diabetes is associated with extensive morbidity and mortality in any human community. The ocular surface, including the transparent and superficial cornea, is known to be involved in diabetes in various ways: this includes common diseases like: recurrent corneal erosions, dry eye, punctate keratopathy, microbial keratitis or endothelial dystrophy. In particular, diabetic patients often complain of dry eye symptoms, including dryness, ocular irritation, burning, redness, pain, and easily fatigued eyes. Chronic hyperglycemia, microvascular damage and neuropathy are the core causatives mechanisms for each of these complications. Corneal changes as we known in more cases depend on the type, duration, and compensation of diabetes mellitus. While the retinal complications of diabetes are well recognized by eye care professionals, especially potentially blinding diabetic retinopathy, the effects on the ocular surface are poorly understood. The aim of this article is to review the impact of diabetes on ocular surface integrity as well as changes in the tear film.
Słowa kluczowe: cukrzyca, rogówka, zespół suchego oka.
Keywords: Diabetes mellitus, cornea, dry eye disease.