Prognostic Factors of Visual Acuity in Diabetes Mellitus.

Jin, Jung Hak; Lee, Sang Joon; Lee, Hye Sook; Kim, Shin Dong

Original Article

Journal of the Korean Ophthalmological Society 2006;47(5):755-762.
Published online May 31, 2006.

Prognostic Factors of Visual Acuity in Diabetes Mellitus.

Jung Hak Jin, Sang Joon Lee, Hye Sook Lee, Shin Dong Kim

Department of Ophthalmology, Kosin University College of Medicine, Busan, Korea. hiatus@ns.kosinmed.or.kr

당뇨병 환자에서 시력예후 인자에 대한 고찰

진정학,이상준,이혜숙,김신동

Department of Ophthalmology, Kosin University College of Medicine, Busan, Korea

Correspondence: Jung Hak Jin, M.D

Abstract

PURPOSE
We performed a retrospective study to investigate the risk factors for visual prognosis in diabetes mellitus patients. METHODS: We reviewed 179 patients (358 eyes) who visited our hospital from January 1990 to January 2004. RESULTS The final visual outcome showed improvement in 28 (7.8%) eyes, no change in 193 (53.9%) eyes and worsening in 137 (38.3%) eyes. Duration of diabetes mellitus (p=0.01), diabetic retinopathy (p=0.001), higher grade diabetic retinopathy (p=0.002), progression of cataract (p=0.002), glaucoma (p=0.011), control of hypertension (p=0.001) and an abnormally low glomerular filtration rate (p=0.004) were all indicative of a high risk for decreased visual acuity. But other factors (age, type of diabetes mellitus, abnormality of electrocardiography, HbA1c, serum lipid) were not significantly correlated with visual prognosis (p>0.05). CONCLUSIONS: We concluded that duration of diabetes mellitus, diabetic retinopathy, higher grade diabetic retinopathy, cataract, glaucoma, control of hypertension and abnormally low glomerular filtration rate were the risk factors of decreased visual acuity.

Key Words: Diabetes mellitus;Risk factor;Visual prognosis