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Related Concept Videos

Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Complications of Diabetes Mellitus01:22

Complications of Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...

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Quantification of Diabetes-induced Adherent Leukocytes in Retinal Vasculature
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[Conjunctival stamp in diabetic patients].

Rodica Mnescu1, Mihaela Niculescu, Doina Barascu

  • 1Catedra de anatomie, UMF Craiova.

Oftalmologia (Bucharest, Romania : 1990)
|December 11, 2007
PubMed
Summary

Diabetic patients often experience dry eye syndrome due to reduced tear production and changes in conjunctiva cells. Advanced diabetes and age exacerbate these effects, impacting ocular health.

Area of Science:

  • Ophthalmology
  • Diabetology
  • Cell Biology

Background:

  • Diabetes mellitus is associated with various ocular complications.
  • Dry eye syndrome (lacrimal hyposecretion) is a common complaint among diabetic patients.
  • Conjunctival changes may serve as an indicator of ocular surface disease in diabetes.

Purpose of the Study:

  • To investigate conjunctival stamp alterations in diabetic patients.
  • To correlate these changes with ocular surface parameters and diabetes duration.
  • To assess the prevalence of dry eye syndrome in the studied diabetic cohort.

Main Methods:

  • Ophthalmological examinations including Schirmer and Tear Break-Up Time (BUT) tests were performed on diabetic patients (50-80 years old) and controls.
  • Conjunctival stamps were collected, fixed, Giemsa stained, and analyzed via photonic microscopy.

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In Vivo Confocal Microscopy in the Diagnosis and Management of Dry Eye: A Focus on Imaging Protocols and Interpretation
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  • Histopathological evaluation of epithelial and calyciforme cells in conjunctival stamps was conducted.
  • Main Results:

    • Schirmer and BUT tests indicated lacrimal hyposecretion in a majority of diabetic patients.
    • Conjunctival stamps from diabetic patients showed significant alterations in epithelial and calyciforme cells.
    • Older diabetic patients with longer disease duration exhibited more pronounced conjunctival stamp changes.

    Conclusions:

    • Diabetic patients frequently present with dry eye syndrome, evidenced by lacrimal hyposecretion.
    • Conjunctival stamp analysis reveals cellular changes indicative of ocular surface damage in diabetes.
    • Conjunctival stamp examination can aid in diagnosing dry eye syndrome, particularly in elderly patients with long-standing diabetes.