Diyabetik Ayak Olan ve Olmayan Diabetes Mellitus Hastalarında Kuru Göz Bulgularının Karşılaştırılması

Yıl 2023, Cilt: 13 Sayı: 4, 499 - 506, 30.12.2023

Gülce Gökgöz Özışık , Hasan Çakmak , Murat Kendirci , Osman Dağ

https://doi.org/10.31832/smj.1286018

Öz

Amaç: Diyabetik ayağı olan ve olmayan Diabetes Mellitus hastalarında kuru göz bulgularını karşılaştırmak.
Yöntemler: Bu kontrollü kesitsel çalışmaya diyabetik ayağı olan ve olmayan diabetes mellitus hastaları dahil edildi. Her katılımcının gözyaşı kırılma zamanı (BUT) ve Schirmer testi sonuçları not edildi. Her katılımcıya Oküler Yüzey Hastalık İndeksi (OSDI) anketi uygulandı.
Bulgular: Çalışmada 48 diyabet hastası vardı; yarısında diyabetik ayak vardı (n=24). Diyabetik ayağı olan ve olmayan hastaların yaş ve cinsiyet dağılımı benzerdi. Ortanca AMA seviyeleri (diyabetik ayaklı hastalarda sağ göz için 4,0 [3,0 – 6,0] saniye, sol göz için 4,5 [3,0 – 6,5] saniye) (sağ göz için 4,0 [3,8 – 6,2] saniye, 5,0 [ 3,8 – 5,2] saniye) ve Schirmer testi (diyabetik ayaklı hastalarda sağ göz için 7,0 [5,0 – 17,0] mm, sol göz için 11,0 [6,8 – 17,0] mm) (11,0) [7,0 – 15,8] mm, diyabetik ayak olmayan hastalarda sol göz için 14,5 [6,5 – 18,5] mm) her iki hasta grubunda benzerdi. OSDI skorları diyabetik ayaklı (22,7 [13,5 – 36,2]) ve diyabetik ayaksız (28,4 [13,6 – 41,5]) hastalarda benzerdi (p=0,749).
Sonuç: Schirmer testi, BUT testi ve OSDI skoru diyabetik ayaklı hastalarda daha düşüktü ancak istatistiksel olarak anlamlı değildi. Gelecekteki çalışmalarda bu hasta grubunda kuru göz parametrelerinin değerlendirilmesinde periferik nöropati incelemesi ve korneal konfokal mikroskopi yararlı olabilir.

Anahtar Kelimeler

Diabetes mellitus, diyabetik ayak, kuru göz, Schirmer testi, gözyaşı kırılma zamanı testi, OSDI

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

yok

Comparison of Dry Eye Findings in Diabetes Mellitus Patients with and without Diabetic Foot

Öz

Purpose: To compare dry eye findings in diabetes mellitus patients with and without diabetic foot.
Methods: Diabetes mellitus patients with and without diabetic foot were included in this controlled cross-sectional study. Tear break-up time (BUT) and Schirmer test results of each participant were noted. Ocular Surface Disease Index (OSDI) questionnaire was administered to each participant.
Results: There were 48 diabetic patients in the study; half of them had diabetic foot (n=24). The patients with and without diabetic foot were similar in age and sex distribution. The median levels of BUT (4.0 [3.0 – 6.0] seconds for the right eye, 4.5 [3.0 – 6.5] seconds for the left eye in patients with diabetic foot) (4.0 [3.8 – 6.2] seconds for the right eye, 5.0 [3.8 – 5.2] second for the left eye in patients without diabetic foot) and Schirmer’s test (7.0 [5.0 – 17.0] mm for the right eye, 11.0 [6.8 – 17.0] mm for the left eye in patients with diabetic foot) (11.0 [7.0 – 15.8] mm for the right eye, 14.5 [6.5 – 18.5] mm for the left eye in patients without diabetic foot) were similar in both groups of patients. The scores of OSDI were similar in patients with diabetic foot (22.7 [13.5 – 36.2]) and without diabetic foot (28.4 [13.6 – 41.5]) (p=0.749).
Conclusion: The Schirmer test, BUT test, and OSDI score were lower in patients with diabetic foot, but they were not statistically significant. In future studies, peripheral neuropathy examination and corneal confocal microscopy may be beneficial when evaluating dry eye parameters in this group of patients.

Anahtar Kelimeler

Diabetes mellitus, diabetic foot, dry eye, Schirmer test, tear break-up time test, OSDI

Proje Numarası

YOK

Kaynakça

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