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A pilot study on total, corneal, and internal aberrations in insulin-dependent and non-insulin-dependent diabetes mellitus patients

  • Pathology
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Abstract

Purpose

To explore the distribution of total, corneal, and internal higher-order aberrations (HOAs) in both insulin-dependent (IDDM) and non-insulin-dependent (NIDDM) diabetic patients.

Methods

Pilot study including seven patients with IDDM (14 eyes) and 11 patients with NIDDM (22 eyes). Ocular HOAs were examined using ray tracing aberrometry (i-Trace, Tracey Technologies Corp., Houston, TX) and the measurements of anterior segment using Scheimpflug imaging (Pentacam, Oculus Inc. Germany).

Results

Total HOAs was slightly higher in IDDM (0.634 ± 0.228 μm, 95% IC ± 0.131) than in NIDDM patients (0.527 ± 0.245 μm, 95% IC ± 0.108) (p = 0.267). The greatest contributor for total ocular HOAs was internal vertical coma (Z3 − 1) for both diabetic groups. In NIDDM, age and central corneal thickness (CCT) were correlated with total HOAs (p < 0.001, p = 0.0180 respectively); however, anterior chamber volume (ACV) was inversely correlated with total HOAs (p = 0.019). In IDDM, total HOAs were correlated with posterior asphericity (Q) (p = 0.002) and inversely correlated with ageing (p = 0.013).

Conclusions

Diabetic patients showed high values of total and internal vertical coma (Z3 − 1). There might be a role for optical quality measurements in monitoring changes due to DM.

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Conflict of interest

All authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony, or patent-licensing arrangements) or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

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Authors and Affiliations

  1. Optometry Research Group, Department of Optics, University of Valencia, Dr. Moliner 50, 46100, Burjassot, Valencia, Spain

    Ana M. Calvo-Maroto, Santiago García-Lázaro, César Albarrán-Diego & Alejandro Cerviño

  2. Department of Ophthalmology, Oftalmar, Medimar International Hospital, Alicante, Spain

    Rafael J. Pérez-Cambrodí

Authors
  1. Ana M. Calvo-Maroto
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  2. Rafael J. Pérez-Cambrodí
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  3. Santiago García-Lázaro
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  4. César Albarrán-Diego
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  5. Alejandro Cerviño
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Correspondence to Alejandro Cerviño.

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Calvo-Maroto, A.M., Pérez-Cambrodí, R.J., García-Lázaro, S. et al. A pilot study on total, corneal, and internal aberrations in insulin-dependent and non-insulin-dependent diabetes mellitus patients. Graefes Arch Clin Exp Ophthalmol 253, 645–653 (2015). https://doi.org/10.1007/s00417-014-2864-3

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  • DOI: https://doi.org/10.1007/s00417-014-2864-3

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