ASSOCIATION OF TYPE – II DIABETES WITH INTRA OCULAR PRESSURE: A CORRELATIVE STUDY

Mohd. Younus Zaroo*, Sheikh Imran Sayeed and Syed Tariq Quereshi

ABSTRACT

Diabetes mellitus increases the susceptibility of the retinal ganglion cells to additional stresses which relate to OAG, such as elevated IOP. The present study aims at comparing IOP in patients of Type II diabetic patients with normal subjects; and correlate IOP among Type II diabetic patients in reference to their Age, Gender, BMI, Family History, Duration of Type II diabetes. This was a comparative cross sectional analytical study based on prospective observational study. The study was based primary data collected directly from the subjects. The study design involved 360 subjects, who shall be categorized into two groups, ie., experimental group comprised of Diagnosed Type II Diabetic patients and a healthy controlled group, non diabetic (n=150), which were compared with Group A on similar parameters. Tools used under the study include: Tonometry with Applanation tonometer, Gonioscopy, Ophthalmoscopy, Visual acuity, Slit lamp examination and Corneal Pachymetry. The Covariate Method include interview schedule/questionnaire. It comprised address, age, gender, duration of Type II Diabetes Mellitus, dwelling, past history, occupation, family history, personal history, drug history and ocular pathology. Height and weight was measured using light clothes and body-mass index was calculated as weight divided by squared height in meters. Blood pressure (BP) measurements were taken using the validated oscillometric device. Three measurements were taken at one-minute intervals. The mean of the two latest BP measurements was considered as the clinical BP. The software namely „SPSS‟ was used for statistical purpose, computing required measures wherever applicable. The results show that Economic conditions of diabetic and non diabetic subjects are found significantly associated with their IOP. Height of diabetic patients is correlated with IOP of their right eye. The mean score of IOP among diabetic patients is more than non diabetic subjects. IOP right eye is highly and significantly correlated with IOP of left eyes.

Keywords: Gonioscopy, Ophthalmoscopy, Visual acuity.