Downloads: 1 | Views: 27 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper | Ophthalmology | India | Volume 13 Issue 5, May 2024 | Rating: 4.7 / 10
Association of Intraocular Pressure with HbA1C Levels in Patients with Type 2 Diabetes Mellitus
Siddhi Kondvilkar [2] | Lokesh H M [2] | Safa S Razi [2] | Tanvi Patil [2] | Saipreethi Gundareddy [2]
Abstract: Introduction: Diabetes mellitus is becoming an epidemic in our country and worldwide. It is an important risk factor for raised intraocular pressure (IOP). Raised IOP is associated with a potentially blinding condition known as glaucoma. Identification of risk factors is a mainstay in the prevention and early detection of glaucoma. Aim & objectives: To determine the association of IOP with glycosylated hemoglobin (HbA1c) levels in patients with Type 2 diabetes mellitus & to identify patients of type 2 Diabetes mellitus who are at risk of developing glaucoma. Materials & methods: A cross - sectional study was performed on 60 patients with Type 2 Diabetes mellitus. Detailed ocular examination & measurement of IOP by Goldmann?s applanation tonometer was done to all patients. The HbA1c levels of these patients were documented. The patients were allocated in 2 groups, based on HbA1c levels <7% in Group 1 & HbA1c levels ?7% in Group 2. Results: Out of 60 patients, there were 39 males (65%) & 21 females (35%). The mean HbA1c level in Group 1 was 6.0 ? 0.4 % & in Group 2 was 8.6 ? 1.1 %. The mean IOP in Group 1 was 12.1? 1.2 mmHg & in Group 2 was 16.3 ? 2.2 mmHg. The difference of IOP in both groups was statistically significant (p<0.005). Conclusion: Diabetic patients with poor glycemic control revealed higher IOP compared to those with good glycemic control (lower HbA1c levels). Thus, in patients with Type 2 Diabetes mellitus, regular screening for IOP and monitoring of HbA1c levels may be useful in assessing the potential risk of developing glaucoma and reducing ocular comorbidity.
Keywords: Diabetes Mellitus, intraocular pressure, HbA1c, Glaucoma
Edition: Volume 13 Issue 5, May 2024,
Pages: 479 - 482