Scopus
YÖKSİS ISSN Eşleşti
SJR Q1
Effect of glycemic control on refractive changes in diabetic patients with hyperglycemia
Cornea · Temmuz 2005
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Effect of glycemic control on refractive changes in diabetic patients with hyperglycemia
2005 ISSN: 0277-3740 SCI-Expanded
Prof. Dr. BANU BOZKURT →
Makale Bilgileri
Dergi
Cornea
ISSN02773740
Yayın TarihiTemmuz 2005
Cilt / Sayfa24 · 531-537
Scopus ID2-s2.0-21244464775
Özet
Purpose: To investigate the effect of intensive glycemic control on hyperglycemia-induced changes in refraction, corneal topography, lenticular and corneal thickness in diabetic patients. Methods: Eighteen diabetic patients with plasma glucose >300 mg/dl were enrolled in the study consecutively. Autorefraction, C-Scan corneal topography, Javal keratometry, corneal pachymetry and ultrasonic biometric measurements were carried out at presentation and after metabolic control of blood sugar (plasma glucose profile <200 mg/dl). One eye of each patient was selected randomly for statistical analysis. Results: Mean plasma glucose levels were 356.00 mg/dl before and 133.78 mg/dl after treatment. The median values of the autorefractometric measurements were - 0.125 D on admission and + 0.375 D at the second examination. The difference in the refraction was statistically significant (P = 0.022). Nine of 18 patients became hyperopic, 2 became myopic and 7 showed no change after treatment. There was a significant change in the corneal topographic keratometric measurements at the flattest corneal meridian after treatment (P = 0.037). After treatment no statistically significant changes were observed in the pachymetric corneal thickness, anterior chamber depth, biometric dioptric lens calculations and Javal keratometric data. Conclusions: Hyperglycemia is the major cause of the transient refractive changes in diabetic patients. Following intensive medical treatment, a considerable number of patients tend to become more hyperopic compared with the hyperglycemic state. During the treatment period, changes in the corneal topographic parameters might be a potential source of error for keratorefractive and cataract surgery. Copyright © 2005 by Lippincott Williams & Wilkins.
Yazarlar (6)
1
Baris Sonmez
2
Banu Bozkurt
ORCID: 0000-0002-9847-3521
3
Aysegul Atmaca
4
M. İrkeç
5
Mehmet Orhan
6
Umut Aslan
Anahtar Kelimeler
Corneal topography
Diabetes Mellitus
Hyperglycemia
Refraction
Kurumlar
Hacettepe Üniversitesi
Ankara Turkey
Scimago Dergi (ISSN Eşleşmesi)
Cornea
Q1
SJR Skoru0,955
H-Index141
YayıncıLippincott Williams and Wilkins
ÜlkeUnited States
Ophthalmology (Q1)
Metrikler
61
Atıf
6
Yazar
4
Anahtar Kelime