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Refraction in adults with diabetes.

Barbara E K Klein¹, Kristine E Lee, Ronald Klein

¹Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, 610 N Walnut St, Fourth Floor, Wisconsin Alumni Research Foundation, Madison, WI 53726-2336, USA. kleinb@epi.ophth.wisc.edu

Archives of Ophthalmology (Chicago, Ill. : 1960)

|January 12, 2011

Summary

Adults with type 1 diabetes (T1D) were slightly more myopic than those with type 2 diabetes (T2D). Refraction changes and risk factors like age and education were similar to the general population.

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Area of Science:

Ophthalmology
Endocrinology
Diabetology

Background:

Diabetes mellitus, encompassing type 1 (T1D) and type 2 (T2D), can impact ocular health.
Understanding refractive error progression is crucial for managing diabetic eye complications.

Purpose of the Study:

To investigate refractive error, its changes over time, and associated risk factors in adults with T1D and T2D.
To compare refraction between T1D and T2D populations.

Main Methods:

A population-based study utilizing Modified Early Treatment of Diabetic Retinopathy Study refractions.
Collected baseline and 10-year follow-up data, including standard medical history.

Main Results:

Age and education influenced refraction in both T1D and T2D groups.
Individuals with T1D were more myopic than age-matched T2D individuals (P < .01).
T1D showed an average -0.28 D change over 10 years; T2D showed an average +0.48 D change, with longer duration and retinopathy linked to hyperopic shifts in T1D.

Conclusions:

T1D patients exhibited slightly greater myopia compared to age-matched T2D patients.
Mean refraction and risk factors (age, education) in diabetic populations mirrored those in non-diabetic populations.