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Diabetes mellitus and refractive changes: analysis of three casesand review of the Literature

Necati Duru1(necatiduru at gmail dot com) #, Dnd Melek Ulusoy2, Aye !kse2, "eyne Duru$, %asanAlt&nkaynak1, Nilay 'ksel1, Mustaa Ata21Ankara Atatrk ducation and *esearc+ %osital, Deartment o +t+almology, -urkey. 2/ayseri ducation and*esearc+ %osital, Deartment o +t+almology, -urkey. $Ankara Numune ducation and *esearc+ %osital,Deartment o +t+almology, -urkey# 0 corresonding aut+or

DOI+tt0d.doi.org13.1$343rs.en.1.1156Date

2317811836Cite as*esearc+ 23179101156License::8;'

Abstract-+e +uman lens +as a

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atient in a s+ort time mig+t =e related to dia=etes mellitus. ;lood glucose leas measured asC62 mgml and atient diagnosed >it+ dia=etes >as +ositalised =y endocrinologist. @nsulin t+eray>as started to atient and =lood glucose leas regulated. -+e atient resented to t+eot+almology outatient clinic t+ree days later, and +e oered t+at +e sa> =etter >it+out +iseyeglasses and +e +ad diiculty in near as measured as H3.C3 D in rig+t andas H3.4C D in let eye. %is as 2323 =ilaterally >it+out reractieek,irst mont+, and second mont+ ater diagnosis o dia=etes mellitus.Case

ity8t>o8year8old male atient resented to o+t+almology outatient clinic >it+ t+e comlaint o=lurry ere 81.33 D in rig+t and 81.2C D in let. Jisual acuity>as 2323 =ilaterally >it+ H$.33 D glass in rig+t and >it+ H$.C3 D in let eye. %e reorted t+at +e >asdiagnosed >it+ dia=etes mellitus one >eek ago and +e =egan to receias called or control t>o >eeks later.Jisual acuity >as 2323 in control eamination >it+ H7.33 D in rig+t and >it+ H7.2C D in let eye.*eraction >as H3.4C D in =ot+ eyes in t+e irst mont+ control eamination, and it >as H3.2C D inrig+t eye and H3.C3 D in let eye in t+e second mont+ control.Case !

ity8si8year8old emale atient >as reerred to o+t+almology outatient clinic or undus

eamination. %er =lood glucose leas $63 mgml. ?+e said t+at s+e +ad not any eekslater or control. ?+e said t+at s+e +ad near o >eeks later. ?+esaid t+at s+e started to use insulin and +er =lood glucose leas regulated. *eractias no reractio mont+s later.

DiscussionAlt+oug+ oidatiater rom outside o t+e lens, and ays0 @n t+e =eginning o +yerglycemia,+yermetroia occurance is o=ser

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erosions, +ealed corneal eit+elial deects and c+anges in corneal endot+elium are t+e rincialreasons o reractias s+o>ed t+at +ig+ glucoseconcentrations in t+e aEuous +umor and cornea could c+ange corneal toogra+y =y aectingcorneal +ydrationLB15B14B.@n our study, myoic alteration >as o=serere o=ser+en =lood glucose decreased raidly

>it+ insulin t+eray, and in t+e second mont+, sta=le reractias ron t+at dia=etic atients +a