الفهرس | Only 14 pages are availabe for public view |
Abstract CONCLUSION AN’D SUMMARY Insulin-dependent (type I) diabetes mellitus is a common chronic and disabling disease and the eye, unfortunately suffer a number of complications as a result. Our study included 65 insulin-dependent diabetic patients in whom diabetes was diagnosed before the age of 30 years. Thirty five patients were males (53.8%) and thirty were females (46.2%). Their ages ranged between 5 and 42 years and the duration of diabetes varied between one year to twenty two years. The most important ocular finding observed was diabetic retinopathy (16.6%). No prepubertal cases in our study developed retinopathy. The duration of diabetes proved to be an important factor in the development of retinopathy and no retinopathy cases in the studied sample how diabetes for less than 5 years. The mean duration of illness in the retinopathy cases was 11.8+ 4.3 and the difference is statistically significant. Our study showed that male patients were more prone to develop retinopathy than females. It has apperent that patients who were not strictly controlled were more liable to develop retinopathy. In studied retinopathy cases, 7 cases (63.4%) with apositive family history and 4 cases (36.3%) with a negative family history of ~----~-._----~-_._---_._--------- -69- juvenile diabetes mellitus. In mangement of proliferative diabetic retinopathy pan retinal photocoagulation was done for four cases and the condition was controlled. It was shown that insulin-dependent diabetic patients represents a special problem and the achievement of steady metabolic control is a hard job. We hope that with the widespread use of new methods of achieving glucose homeostasis, it would be possible to control hyperglycemia, thereby decreasing the incidence of ocular complications. _._~----~----- --_._----- ----- ------ |